Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Bridge Residential Home LLC

Q: What is the NPI number for Bridge Residential Home LLC?

The NPI for Bridge Residential Home LLC is 1114781945, a Type 2 (organization) record in the CMS NPPES registry.

Psychiatric Residential Treatment Facility in Laveen, AZ · enumerated 2024 · authorized official Wildine Burgess, Exec Admin.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114781945

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Registry record

Entity type Organization (Type 2)

Legal business name Bridge Residential Home LLC

Practice address 7343 W Maldonado Rd, Laveen, AZ, 85339

Phone (602) 354-9252

Enumeration date Feb 12, 2024

Last updated in NPPES Feb 12, 2024

Taxonomy & classification

2084A0401X Addiction Medicine (Psychiatry & Neurology) Physician Allopathic & Osteopathic Physicians Secondary

103TB0200X Cognitive & Behavioral Psychologist Behavioral Health & Social Service Providers Secondary

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Secondary

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Wildine Burgess

Title Exec Admin

Phone (602) 354-9252

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Bridge Residential Home LLC?

NPPES lists Wildine Burgess (Exec Admin) as the authorized official for this organization.

What is the NPI number for Bridge Residential Home LLC?

The NPI for Bridge Residential Home LLC is 1114781945, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-12.