MEDICARE: BRIDGEWELL HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1194602235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIDGEWELL HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	16510 NORTHCHASE DR OFC 257
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-3302
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16510 NORTHCHASE DR OFC 257
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-3302
Country	:	US
Telephone Number	:	224-558-6118
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	LUKUMAN AFUWAPE
Credential	:
Telephone Number	:	224-558-6118

Provider Enumeration Date	:	08/20/2025
Last Update Date	:	08/26/2025

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