Healthcare Provider Details

I. General information

NPI: 1801608666
Provider Name (Legal Business Name): CONNECTING BRIDGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2025
Last Update Date: 01/26/2025
Certification Date: 01/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 RODNEY FRENCH BLVD STE S-302
NEW BEDFORD MA
02744-1623
US

IV. Provider business mailing address

127 RODNEY FRENCH BLVD STE S-302
NEW BEDFORD MA
02744-1623
US

V. Phone/Fax

Practice location:
  • Phone: 774-225-4733
  • Fax:
Mailing address:
  • Phone: 774-225-4733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: JUNIOR L MORPEAU
Title or Position: MANAGER
Credential:
Phone: 774-417-4291