Organization Active NPI

Bridge to Independence, LLC

  • Community/Behavioral Health Agency
  • Raytown, MO
National Provider Identifier
1972489243
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRIDGE TO INDEPENDENCE, LLC
Practice address
6709 Appleton Ave
Raytown, MO 64133-6109
Phone
(913) 278-5373
NPI assigned
Aug 13, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Aderemi Miller, MBA, BSN
Title
Member
Phone
(913) 278-5373

National Provider Directory

National Provider Directory

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

NPPES NPI Registry

Primary practice location

6709 Appleton Ave
Raytown, MO 64133-6109

Mailing address

6709 Appleton Ave
Raytown, MO 64133-6109
Phone (913) 278-5373

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 13, 2025.

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1972489243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 APPLETON AVE",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641336109",
            "telephone_number": "913-278-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 APPLETON AVE",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641336109",
            "telephone_number": "913-278-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO INDEPENDENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ADEREMI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "913-278-5373",
        "authorized_official_credential": "MBA, BSN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raytown, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.