BRIDGE RESIDENTIAL HOME LLC
NPI 1114781945
Psychiatric Residential Treatment Facility in Laveen, AZ
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
Specialties & Licenses 5
Group Practice 1
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.