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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 Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Health Service

261QH0100X
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for VITA BRIDGE HEALTH LLC

NPI Number 1952104622
LBN Legal business name VITA BRIDGE HEALTH LLC
Authorized official OLAJUMOKE JONGBO - (RN/PMHNP)
Entity Organization
Organization subpart 1 No
Enumeration date 03/28/2025
Last updated 04/15/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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