Bridge Residential Home LLC
NPI 1114781945 · Psychiatric Residential Treatment Facility · Laveen, AZ
Bridge Residential Home LLC is a Psychiatric Residential Treatment Facility organization in Laveen, AZ (NPI 1114781945).
Provider details
- NPI number
- 1114781945
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Wildine Burgess, Exec Admin(602) 354-9252
Specialties & taxonomies
Residential Treatment Facilities
Allopathic & Osteopathic Physicians
- Cognitive & Behavioral Psychologist103TB0200X
Behavioral Health & Social Service Providers
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-02-12
- Last updated
- 2024-02-12
- Certified
- 2024-02-12
Frequently asked questions
- What is Bridge Residential Home LLC's NPI number?
- Bridge Residential Home LLC's National Provider Identifier (NPI) is 1114781945, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bridge Residential Home LLC?
- Bridge Residential Home LLC is classified in the NPPES registry as Psychiatric Residential Treatment Facility (Residential Treatment Facilities).
- Where is Bridge Residential Home LLC located?
- Bridge Residential Home LLC's practice location on file with NPPES is 7343 W Maldonado Rd, Laveen, AZ 85339-7001.
- What is Bridge Residential Home LLC's phone number?
- The practice phone number listed in the NPPES registry for Bridge Residential Home LLC is (602) 354-9252.
- Who is the authorized official for Bridge Residential Home LLC?
- The authorized official listed on Bridge Residential Home LLC's NPPES record is Wildine Burgess, Exec Admin. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bridge Residential Home LLC's NPI active?
- Yes — Bridge Residential Home LLC's NPI (1114781945) is active in the NPPES registry as of the last update on 2024-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.