Organization Active NPI

Hope Bridge Living LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Jenison, MI
National Provider Identifier
1306792767
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
HOPE BRIDGE LIVING LLC
Practice address
1088 Baldwin St
Jenison, MI 49428-9716
Phone
(801) 300-8477
NPI assigned
Mar 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alfred Rubyutsa
Title
Ceo
Phone
(801) 300-8477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

1088 Baldwin St
Jenison, MI 49428-9716

Mailing address

1088 Baldwin St
Jenison, MI 49428-9716

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1306792767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 BALDWIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 BALDWIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289716",
            "telephone_number": "801-300-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE BRIDGE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "RUBYUTSA",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-300-8477"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.