Provider Demographics
NPI:1619703337
Name:CAREBRIDGE HEALTH SYSTEMS INC.
Entity type:Organization
Organization Name:CAREBRIDGE HEALTH SYSTEMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GERSHOM
Authorized Official - Middle Name:
Authorized Official - Last Name:SOIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-747-0150
Mailing Address - Street 1:157 SHANNON BLVD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-2191
Mailing Address - Country:US
Mailing Address - Phone:302-747-0150
Mailing Address - Fax:
Practice Address - Street 1:157 SHANNON BLVD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-2191
Practice Address - Country:US
Practice Address - Phone:302-747-0150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Single Specialty