Lifehouse Bridge Group, Llc

LBN: Lifehouse Bridge Group, Llc
Lifehouse Bridge Group, Llc is an health care organization with primary practice located at 14127 Leavitt Ave , Blue Island IL 60406-3242. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Lifehouse Bridge Group, Llc can be contacted via phone (847) 839-1525, or through Fuller, Jesse via phone (847) 839-1525.

Contact Information

Primary practice address
14127 Leavitt Ave Blue Island IL 60406-3242
Phone: (847) 839-1525
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fuller, Jesse
Phone: (847) 839-1525

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1760074991
LBN Legal business name Lifehouse Bridge Group, Llc
DBA Doing business as
Authorized official Fuller, Jesse
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2021
Last updated Feb 9th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers