Healthcare Provider Details

I. General information

NPI: 1952226466
Provider Name (Legal Business Name): JAYEBRIDGE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 LAURIE WAY
BURLINGTON NJ
08016-2933
US

IV. Provider business mailing address

PO BOX 352
BRISTOL PA
19007-0352
US

V. Phone/Fax

Practice location:
  • Phone: 267-540-9634
  • Fax: 267-892-5428
Mailing address:
  • Phone: 267-540-9634
  • Fax: 267-892-5428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MEDIA M SWAZO
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 609-207-9155