MEDICARE: MEDIBRIDGE HEALTH

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	251E00000X	Home Health Agency
3	372500000X	Chore Provider
4	253Z00000X	In Home Supportive Care Agency
5	374U00000X	Home Health Aide
6	343900000X	Non-emergency Medical Transport (VAN)
7	172A00000X	Driver
8	251V00000X	Voluntary or Charitable Agency
9	372600000X	Adult Companion
10	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1922986413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDIBRIDGE HEALTH

Provider Business Mailing Address
First Line	:	PO BOX 1615
Second Line	:
City	:	HOLLYWOOD
State	:	SC
Zip	:	29449-1615
Country	:	US
Telephone Number	:	843-281-6334
Fax Number	:

Provider Business Practice Location Address
First Line	:	6310 HIGHWAY 162
Second Line	:
City	:	HOLLYWOOD
State	:	SC
Zip	:	29449-6711
Country	:	US
Telephone Number	:	843-331-9327
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	PENTRINA STEWART
Credential	:
Telephone Number	:	843-281-6334

Provider Enumeration Date	:	08/23/2025
Last Update Date	:	12/10/2025

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Directions to “MEDIBRIDGE HEALTH ” Practice Location

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