MEDICARE: BRIDGES OF FAITH

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1558224220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIDGES OF FAITH

Provider Business Mailing Address
First Line	:	510 TURNER RD
Second Line	:
City	:	MCDONOUGH
State	:	GA
Zip	:	30252-8547
Country	:	US
Telephone Number	:	478-456-5171
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 TURNER RD
Second Line	:
City	:	MCDONOUGH
State	:	GA
Zip	:	30252-8547
Country	:	US
Telephone Number	:	478-456-5171
Fax Number	:

Authorized Official
Title or Position	:	RN
Name	:	SHEILA BRIDGES LAWSON
Credential	:	REGISTERED NURSE
Telephone Number	:	478-456-5151

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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