MEDICARE: BRIDGE MEDICAL HOME CARE 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	:	1932030756
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIDGE MEDICAL HOME CARE LLC

Provider Business Mailing Address
First Line	:	2919 EVERSON RIDGE CT
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30039-4406
Country	:	US
Telephone Number	:	404-246-4491
Fax Number	:

Provider Business Practice Location Address
First Line	:	2919 EVERSON RIDGE CT
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30039-4406
Country	:	US
Telephone Number	:	404-246-4491
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ ADMINISTRATOR
Name	:	MS. BRIDGET S GLADMON
Credential	:
Telephone Number	:	404-246-4491

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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