Vita Bridge Health LLC
NPI 1952104622 · Psychiatric/Mental Health Nurse Practitioner · Goodyear, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vita Bridge Health LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Goodyear, AZ (NPI 1952104622).
Provider details
- NPI number
- 1952104622
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Olajumoke Jongbo, Rn/Pmhnp(480) 207-0296
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Home Health Agency251E00000X
Agencies
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2025-03-28
- Last updated
- 2025-04-15
- Certified
- 2025-04-15
Frequently asked questions
- What is Vita Bridge Health LLC's NPI number?
- Vita Bridge Health LLC's National Provider Identifier (NPI) is 1952104622, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vita Bridge Health LLC?
- Vita Bridge Health LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Vita Bridge Health LLC located?
- Vita Bridge Health LLC's practice location on file with NPPES is 15150 W Park Pl Fl 2, Goodyear, AZ 85395-2385.
- What is Vita Bridge Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Vita Bridge Health LLC is (480) 207-0296.
- Does Vita Bridge Health LLC accept Medicare?
- Vita Bridge Health LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vita Bridge Health LLC?
- The authorized official listed on Vita Bridge Health LLC's NPPES record is Olajumoke Jongbo, Rn/Pmhnp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vita Bridge Health LLC's NPI active?
- Yes — Vita Bridge Health LLC's NPI (1952104622) is active in the NPPES registry as of the last update on 2025-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.