BRIDGEWATER ASSISTED LIVING - MIDTOWN
NPI 1467949156
Assisted Living Facility in Phoenix, AZ

Active since April 18, 2018CLIA 03D2196925 · Waiver
4000 N 3RD AVENUE, PHOENIX, AZ 85013(480) 653-9500 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bridgewater Assisted Living - Midtown NPPES

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

BRIDGEWATER ASSISTED LIVING - MIDTOWN (NPI 1467949156) is a healthcare organization registered as an assisted living facility in Phoenix, Arizona and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through October 19, 2026 and lists Inge G Duran, Vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1467949156
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSOLTERRA 3RD INDIAN SCHOOL OPERATIONS, LLC
Location Address4000 N 3RD AVENUEPhoenix, AZ 85013
Mailing Address14650 N 78th Way, Bldg BScottsdale, AZ 85260 · (602) 544-3195 · Fax (602) 533-7574
Organization SubpartNo
Authorized OfficialInge G DuranVice President Of Finance · (602) 544-3195
Enumeration DateApril 18, 2018
NPI 1467949156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in AZ · AL10641C
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
4000 N 3RD AVENUE, Phoenix, AZ 85013

Other Names 1

Doing Business AsBridgewater Assisted Living - Midtown

Other Identifiers 2

Medicaid367767AZ
OtherAL10641CAZ · Az Dept Health Svcs

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2196925

Solterra 3rd Indian School Operations, LLC · Phoenix, AZ
Active · expires Oct 19, 2026
CLIA Number03D2196925
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorErica Hicks
Laboratory Phone(480) 653-9500
Laboratory LocationSolterra 3rd Indian School Operations, LLC4000 N 3rd Ave, Phoenix, AZ 85013
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Solterra 3rd Indian School Operations, LLC's NPI number?

The NPI number for Solterra 3rd Indian School Operations, LLC is 1467949156. It was assigned to this organization in the NPPES registry on April 18, 2018. The provider is doing business as Bridgewater Assisted Living - Midtown.

Where is Solterra 3rd Indian School Operations, LLC located?

Solterra 3rd Indian School Operations, LLC is located at 4000 N 3rd Avenue, Phoenix, AZ 85013. The listed phone number is (480) 653-9500.

What is Solterra 3rd Indian School Operations, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Solterra 3rd Indian School Operations, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2196925) is associated with this NPI, valid through October 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Solterra 3rd Indian School Operations, LLC was last updated on April 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.