Active NPI
Bridgewater Home Care LLC
- In Home Supportive Care Agency
- Eagle, ID
National Provider Identifier
1831015403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- BRIDGEWATER HOME CARE LLC
- Practice address
- 1675 E Riverside Dr Ste 150
Eagle, ID 83616-7584 - Phone
- (208) 207-2726
- NPI assigned
- 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
- Amber Tueller
- Title
- Secretary
- Phone
- (208) 207-2726
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1675 E Riverside Dr Ste 150
Eagle, ID 83616-7584
Mailing address
1675 E Riverside Dr Ste 150
Eagle, ID 83616-7584
Other names 1
- Arizona Valley Home Care
National Provider Directory
National Provider DirectoryNPI 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": "1831015403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 E RIVERSIDE DR STE 150",
"city": "EAGLE",
"state": "ID",
"postal_code": "836167584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 E RIVERSIDE DR STE 150",
"city": "EAGLE",
"state": "ID",
"postal_code": "836167584",
"telephone_number": "208-207-2726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGEWATER HOME CARE 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": "TUELLER",
"authorized_official_first_name": "AMBER",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "208-207-2726"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Arizona Valley Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eagle, ID
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.