Organization
BRIDGING THE GAP HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TYISHAL JACOBS SMITH (CEO)
(201) 702-5048
Entity
Organization
Contact information
Practice address
1834 E BASELINE RD STE 205, TEMPE, AZ 85283-1507
(480) 474-4668
Mailing address
1834 E BASELINE RD STE 205, TEMPE, AZ 85283-1507
(480) 474-4668
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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