BRIDGE RESIDENTIAL HOME LLC
NPI 1114781945
Psychiatric Residential Treatment Facility in Laveen, AZ

Active since February 12, 2024
7343 W MALDONADO RD, LAVEEN, AZ 85339(602) 354-9252 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bridge Residential Home Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGE RESIDENTIAL HOME LLC (NPI 1114781945) is a healthcare organization registered as a psychiatric residential treatment facility in Laveen, Arizona and active in the NPI registry since February 2024. The organization lists Wildine Burgess, Exec Admin, as its authorized official.

NPPES Registry Identity

NPI1114781945
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameBRIDGE RESIDENTIAL HOME LLC
Location Address7343 W MALDONADO RDLaveen, AZ 85339-7001
Mailing AddressPo Box 51382Phoenix, AZ 85076-1382
Organization SubpartNo
Authorized OfficialWildine BurgessExec Admin · (602) 354-9252
Enumeration DateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
NPI 1114781945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
7343 W MALDONADO RD, Laveen, AZ 85339

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridge Residential Home LLC's NPI number?

The NPI number for Bridge Residential Home LLC is 1114781945. It was assigned to this organization in the NPPES registry on February 12, 2024.

Where is Bridge Residential Home LLC located?

Bridge Residential Home LLC is located at 7343 W Maldonado Rd, Laveen, AZ 85339. The listed phone number is (602) 354-9252.

What is Bridge Residential Home LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

When was this NPI record last updated?

The NPPES record for Bridge Residential Home LLC was last updated on February 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.