VITA BRIDGE HEALTH LLC
NPI 1952104622
Nurse Practitioner - Psychiatric/Mental Health in Goodyear, AZ
About Vita Bridge Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITA BRIDGE HEALTH LLC (NPI 1952104622) is a healthcare organization registered as a psychiatric/mental health in Goodyear, Arizona and active in the NPI registry since March 2025. The organization lists Olajumoke Jongbo, Rn/pmhnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vita Bridge Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Vita Bridge Health LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Vita Bridge Health LLC's NPI number?
The NPI number for Vita Bridge Health LLC is 1952104622. It was assigned to this organization in the NPPES registry on March 28, 2025.
Where is Vita Bridge Health LLC located?
Vita Bridge Health LLC is located at 15150 W Park Pl Fl 2, Goodyear, AZ 85395. The listed phone number is (480) 207-0296.
What is Vita Bridge Health LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Vita Bridge Health LLC enrolled in Medicare?
Yes. Vita Bridge Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vita Bridge Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Vita Bridge Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Vita Bridge Health LLC was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Vita Bridge Health Llc · NPI 1952104622
Psychiatric/Mental Health organization in Goodyear, Arizona. Organization record, active in the CMS NPPES registry since March 28, 2025.
## Identity
- **NPI:** 1952104622 (Entity type: Organization)
- **Enumerated:** March 28, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Olajumoke Jongbo, RN/PMHNP
## Practice location
- **Address:** 15150 W PARK PL FL 2, Goodyear, AZ 85395-2385
- **Phone:** (480) 207-0296 · **Fax:** (480) 546-3290
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1952104622) · Data from the CMS NPPES public registry.