Healthcare Provider Details

I. General information

NPI: 1174081798
Provider Name (Legal Business Name): BRIDGE CARE SOLUTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2019
Last Update Date: 03/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25140 LAHSER RD STE 141B
SOUTHFIELD MI
48033-2753
US

IV. Provider business mailing address

25140 LAHSER RD STE 141B
SOUTHFIELD MI
48033-2753
US

V. Phone/Fax

Practice location:
  • Phone: 248-728-4918
  • Fax: 248-809-2538
Mailing address:
  • Phone: 248-728-4918
  • Fax: 248-809-2538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. YVETTE LEE
Title or Position: CHIEF OPERATING OFFICER
Credential: HHA, LIP,AD
Phone: 248-208-5344