National Provider Identifier Database

VITA BRIDGE HEALTH LLC
Psychiatric/Mental Health


Contact Information

VITA BRIDGE HEALTH LLC
15150 W PARK PL FL 2
GOODYEAR, AZ85395-2385
Phone: 480-207-0296
Fax: 480-546-3290
Website:
Specialty Taxonomy Code
* Psychiatric/Mental Health 363LP0808X
Health Service 261QH0100X
Home Health 251E00000X

* Indicates primary specialty

NPI Profile & details for VITA BRIDGE HEALTH LLC

NPI Number 1952104622
Legal business name
LBN
VITA BRIDGE HEALTH LLC
Authorized official OLAJUMOKE JONGBO - (RN/PMHNP)
Entity Organization
Organization subpart No
Enumeration date 03/28/2025
Last updated 04/15/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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