NPI 1104221209 · live from the CMS NPI Registry
Bridge Hospice LLC
Hospice Care, Community Based in Pooler, GA. National Provider Identifier 1104221209, active.
NPI record
| NPI | 1104221209 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 119 Canal St Ste 103, Pooler, GA 31322 |
| Practice phone | 912-417-4571 |
| Enumerated | October 31, 2014 |
| Last updated | September 20, 2022 |
| Authorized official | Aaron Musselman, Owner/President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice, Inpatient | 315D00000X | — |
| Hospice Care, Community Based primary | 251G00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.