Active NPI
Bridge to Home LLC
- Mental Illness Community Based Residential Treatment Facility
- Oregon City, OR
National Provider Identifier
1518883388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- BRIDGE TO HOME LLC
- Practice address
- 20282 Chanticleer Dr
Oregon City, OR 97045-9826 - Phone
- (240) 355-1325
- NPI assigned
- Jun 26, 2026
- Last updated
- Jun 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wondaye Tamene Deressa, APRN
- Title
- Executive Director
- Phone
- (240) 355-1325
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU | Primary |
Addresses
Primary practice location
20282 Chanticleer Dr
Oregon City, OR 97045-9826
Mailing address
20282 Chanticleer Dr
Oregon City, OR 97045-9826
Phone (240) 355-1325
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Primary Care Nurse Practitioner
- Bethesda, MD
- NPI 1275861353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782432000000",
"number": "1518883388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20282 CHANTICLEER DR",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970459826",
"telephone_number": "240-355-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20282 CHANTICLEER DR",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970459826",
"telephone_number": "240-355-1325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGE TO HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-26",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A",
"authorized_official_last_name": "DERESSA",
"authorized_official_first_name": "WONDAYE",
"authorized_official_middle_name": "TAMENE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "240-355-1325",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.