Healthcare Provider Details

I. General information

NPI: 1972434272
Provider Name (Legal Business Name): NORTHBRIDGE CARE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2846 MINERVA LAKE RD
COLUMBUS OH
43231
US

IV. Provider business mailing address

105 WELDRICK RD E SUITE 607
RICHMOND HILL ONTARIO
L4C9Y9
CA

V. Phone/Fax

Practice location:
  • Phone: 647-570-4839
  • Fax: 216-628-9179
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: EBYAN NOOR
Title or Position: MANAGING MEMBER
Credential:
Phone: 647-570-4839