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LIFEHOUSE BRIDGE GROUP, LLC
NPI 1760074991
Community/Behavioral Health in Blue Island, IL

Active since February 09, 2021
14127 LEAVITT AVE, BLUE ISLAND, IL 60406(847) 839-1525 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifehouse Bridge Group, Llc NPPES

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

LIFEHOUSE BRIDGE GROUP, LLC (NPI 1760074991) is a healthcare organization registered as a community/behavioral health in Blue Island, Illinois and active in the NPI registry since February 2021. The organization lists Jesse Fuller, Member, as its authorized official.

NPPES Registry Identity

NPI1760074991
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLIFEHOUSE BRIDGE GROUP, LLC
Location Address14127 LEAVITT AVEBlue Island, IL 60406-3242
Mailing Address412 Lauder LnInverness, IL 60067-4562 · (184) 839-1525 · Fax (847) 310-1239
Phone(847) 839-1525
Organization SubpartNo
Authorized OfficialJesse FullerMember · (847) 839-1525
Enumeration DateFebruary 9, 2021
NPPES CertifiedFebruary 9, 2021
✔ NPI 1760074991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
14127 LEAVITT AVE, Blue Island, IL 60406
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Other Names 1

Former Legal Business NameLifehouse Bridge Group, Llc

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFEHOUSE GROUP, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
14127 LEAVITT AVE
BLUE ISLAND, IL 60406
Cook County (708) 897-8581
LIFEHOUSE RECOVERY ORGANIZATION
Substance Abuse Rehabilitation Facility
14127 LEAVITT AVE
DIXMOOR, IL 60406
Cook County (312) 451-5996
VALUE CARE CENTERS, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
14127 LEAVITT AVE
BLUE ISLAND, IL 60406
Cook County (708) 566-4950
DR. CHRISTINE MICHELLE MENDENHALL PSYD.,LCPC,CADC,MISA
Counselor (Professional)
14127 LEAVITT AVE
BLUE ISLAND, IL 60406
Cook County (708) 275-5824

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 Lifehouse Bridge Group, LLC's NPI number?

The NPI number for Lifehouse Bridge Group, LLC is 1760074991. It was assigned to this organization in the NPPES registry on February 9, 2021.

Where is Lifehouse Bridge Group, LLC located?

Lifehouse Bridge Group, LLC is located at 14127 Leavitt Ave, Blue Island, IL 60406. The listed phone number is (847) 839-1525.

What is Lifehouse Bridge Group, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Lifehouse Bridge Group, LLC was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.