Healthcare Provider Details

I. General information

NPI: 1609789247
Provider Name (Legal Business Name): CAREBRIDGE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1472 NW YANKEE DR
BLUE SPRINGS MO
64015-3808
US

IV. Provider business mailing address

1472 NW YANKEE DR
BLUE SPRINGS MO
64015-3808
US

V. Phone/Fax

Practice location:
  • Phone: 254-577-9814
  • Fax:
Mailing address:
  • Phone:
  • 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: JUSTUS MOGAKA
Title or Position: BUSINESS MANAGER
Credential:
Phone: 254-577-9814