Healthcare Provider Details

I. General information

NPI: 1477478063
Provider Name (Legal Business Name): BRIDGEPOINT LIVING HOME CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 ALCIDE DOMINQUE DR APT 2106
LAFAYETTE LA
70506
US

IV. Provider business mailing address

107 ALCIDE DOMINQUE DR APT 2106
LAFAYETTE LA
70506
US

V. Phone/Fax

Practice location:
  • Phone: 337-400-9431
  • Fax:
Mailing address:
  • Phone: 337-400-9431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. PAULA HARRISON
Title or Position: OWNER
Credential:
Phone: 337-772-8735