Active NPI
Bridge to Independence, LLC
- Community/Behavioral Health Agency
- Raytown, MO
National Provider Identifier
1972489243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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 DirectorySpecialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
NPPES NPI RegistryPrimary 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.