Healthcare Provider Details

I. General information

NPI: 1619831682
Provider Name (Legal Business Name): BRIDGEVIEW HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17738 CARNATION GLEN DR
RICHMOND TX
77407-4900
US

IV. Provider business mailing address

17738 CARNATION GLEN DR
RICHMOND TX
77407-4900
US

V. Phone/Fax

Practice location:
  • Phone: 346-316-6150
  • Fax:
Mailing address:
  • Phone: 346-316-6150
  • 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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: AUGUSTINA SANGODEYI
Title or Position: CEO
Credential:
Phone: 346-316-6150