Healthcare Provider Details

I. General information

NPI: 1639018591
Provider Name (Legal Business Name): THE MINDBRIDGE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 BECKETT PARK DR STE 112
WEST CHESTER OH
45069-9310
US

IV. Provider business mailing address

8200 BECKETT PARK DR STE 112
WEST CHESTER OH
45069-9310
US

V. Phone/Fax

Practice location:
  • Phone: 513-299-8112
  • Fax:
Mailing address:
  • Phone: 513-299-8112
  • 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: DERICK KWAME SOLAGA
Title or Position: MANAGING MEMBER
Credential:
Phone: 513-332-7223