Provider Demographics
NPI:1366265415
Name:CAREBRIDGE ALLIANCE LLC
Entity type:Organization
Organization Name:CAREBRIDGE ALLIANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAID
Authorized Official - Middle Name:
Authorized Official - Last Name:BIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-505-9131
Mailing Address - Street 1:1836 CAMINO VIEJO
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-2642
Mailing Address - Country:US
Mailing Address - Phone:408-505-9131
Mailing Address - Fax:
Practice Address - Street 1:1836 CAMINO VIEJO
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-2642
Practice Address - Country:US
Practice Address - Phone:408-505-9131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-06
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251X00000XAgenciesSupports Brokerage
No253Z00000XAgenciesIn Home Supportive Care