Healthcare Provider Details

I. General information

NPI: 1144015751
Provider Name (Legal Business Name): CAREBRIDGE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 05/03/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 SOUTH FWY STE 2350
FORT WORTH TX
76115-1427
US

IV. Provider business mailing address

4200 SOUTH FWY STE 2350
FORT WORTH TX
76115-1427
US

V. Phone/Fax

Practice location:
  • Phone: 214-400-8755
  • Fax: 817-305-8994
Mailing address:
  • Phone: 214-400-8755
  • Fax: 817-305-8994

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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: AMMAR ABDUL MOTALEB
Title or Position: MANAGER
Credential:
Phone: 214-400-8755