National Provider Identifier Database

BRIDGE HOSPICE LLC
Hospice Care, Community Based


Contact Information

BRIDGE HOSPICE LLC
119 CANAL ST STE 103
POOLER, GA31322
Phone: 912-417-4571
Fax: 912-417-4370
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X
Hospice, Inpatient 315D00000X

* Indicates primary specialty

NPI Profile & details for BRIDGE HOSPICE LLC

NPI Number 1104221209
Legal business name
LBN
BRIDGE HOSPICE LLC
Authorized official AARON MUSSELMAN - (OWNER/PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/31/2014
Last updated 09/20/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • GA Medicaid: 003189404A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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