MEDICARE: BRIDGEVIEW HOME HEALTHCARE 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	:	1306468574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIDGEVIEW HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	6659 PEARL RD STE 201
Second Line	:
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130-3821
Country	:	US
Telephone Number	:	216-306-3647
Fax Number	:	216-306-3681

Provider Business Practice Location Address
First Line	:	6659 PEARL RD STE 201
Second Line	:
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130-3821
Country	:	US
Telephone Number	:	216-306-3647
Fax Number	:	216-306-3681

Authorized Official
Title or Position	:	CEO
Name	:	ALI ABDIRAHMAN
Credential	:
Telephone Number	:	216-306-3647

Provider Enumeration Date	:	05/11/2020
Last Update Date	:	01/09/2026

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