Provider Demographics
NPI:1669895835
Name:BRIDGMAN CARE OPERATING, LLC
Entity type:Organization
Organization Name:BRIDGMAN CARE OPERATING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:DOYLE
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-588-3547
Mailing Address - Street 1:PO BOX 579
Mailing Address - Street 2:2532 W. CADILLAC DR
Mailing Address - City:FARWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48622-0579
Mailing Address - Country:US
Mailing Address - Phone:989-588-3547
Mailing Address - Fax:888-849-7119
Practice Address - Street 1:9935 RED ARROW HWY
Practice Address - Street 2:
Practice Address - City:BRIDGMAN
Practice Address - State:MI
Practice Address - Zip Code:49106-9002
Practice Address - Country:US
Practice Address - Phone:269-465-3017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-24
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility