Provider Demographics
NPI:1366268617
Name:BRIDGING CARE
Entity type:Organization
Organization Name:BRIDGING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIARA
Authorized Official - Middle Name:BRENNAE
Authorized Official - Last Name:SUBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-556-1606
Mailing Address - Street 1:533 CLEMSON RD
Mailing Address - Street 2:STE B, OFFICE 1
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-4307
Mailing Address - Country:US
Mailing Address - Phone:803-638-4188
Mailing Address - Fax:
Practice Address - Street 1:533 CLEMSON RD
Practice Address - Street 2:STE B, OFFICE 1
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-4307
Practice Address - Country:US
Practice Address - Phone:803-638-4188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management