Bridgewater la Cholla Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRIDGEWATER LA CHOLLA OPERATIONS, LLC

Practice address

6505 N la Cholla Blvd
Tucson, AZ 85741-3143

Phone

(520) 742-3554

Fax

(520) 742-3094

NPI assigned

May 15, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Heidi Royter

Title

Vice President of Operations

Phone

(602) 544-3195

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1356963086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 N 78TH WAY STE B",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602970",
            "telephone_number": "602-544-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413143",
            "telephone_number": "520-742-3554",
            "fax_number": "520-742-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWATER LA CHOLLA OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "ROYTER",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "602-544-3195",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "AL11318C",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Drew Brickner, MD
• Elisabeth Anne Bridegroom, RN
• Buffie Bridges
• Charles Bridges, M.D.
• Surayyah Bridges
• Bridging Possibilities LLC
• Brien V. Harvey, DDS, Ms
• Luca Brigatti, MD
• Kimberly Briggs, RN
• Lisa A Briggs, FNP-C

• Assisted Living Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.