Healthcare Provider Details

I. General information

NPI: 1578484952
Provider Name (Legal Business Name): BRIDGEWAY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4015 TRAVIS DR STE 211
NASHVILLE TN
37211-3742
US

IV. Provider business mailing address

2523 ALLENWOOD DR
NASHVILLE TN
37207-4602
US

V. Phone/Fax

Practice location:
  • Phone: 615-914-8315
  • Fax:
Mailing address:
  • Phone: 615-914-8315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: AUTRICE FLEMING
Title or Position: CEO, MANAGING MEMBER, OWNER
Credential:
Phone: 629-202-1856