=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811466683
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CAREBRIDGE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/21/2018
-----------------------------------------------------
Last Update Date | 10/31/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3701 S BROADWAY UNIT 150
-----------------------------------------------------
City | ENGLEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80113-3611
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-390-2000
-----------------------------------------------------
Fax | 877-293-3935
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3701 S BROADWAY UNIT 150
-----------------------------------------------------
City | ENGLEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80113-3611
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-390-2000
-----------------------------------------------------
Fax | 877-293-3935
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/ CEO
-----------------------------------------------------
Name | DR. ARMAN K PISHKE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 202-524-0024
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------