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LIFE BRIDGES, INC.
NPI 1376847251
Intermediate Care Facility, Intellectual Disabilities in Cleveland, TN

Active since January 06, 2011CLIA 44D0724713 · Waiver
209 KILE LAKE ROAD, CLEVELAND, TN 37323(423) 472-5268(423) 479-1492 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Life Bridges, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE BRIDGES, INC. (NPI 1376847251) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Cleveland, Tennessee and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Lucas Queen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376847251
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameLIFE BRIDGES, INC.
Location Address209 KILE LAKE ROADCleveland, TN 37323
Mailing AddressPo Box 29Cleveland, TN 37364-0029 · (423) 472-5268 · Fax (423) 479-1492
Phone(423) 472-5268
Fax(423) 479-1492
Organization SubpartNo
Authorized OfficialLucas QueenCeo · (423) 472-5268
Enumeration DateJanuary 6, 2011
Last NPPES UpdateJune 4, 2025
NPPES CertifiedJune 4, 2025
✔ NPI 1376847251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
209 KILE LAKE ROAD, Cleveland, TN 37323
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Other Names 1

Other NameEdgemon House

Other Identifiers 1

Medicaid3722363TN

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0724713

Life Bridges Inc · Cleveland, TN
Active · expires Aug 31, 2026
CLIA Number44D0724713
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCecil Dewayne Knight
Laboratory Phone(423) 472-5268
Laboratory LocationLife Bridges Inc764 Old Chattanooga Pike SW, Cleveland, TN 37364
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Bridges, Inc.'s NPI number?

The NPI number for Life Bridges, Inc. is 1376847251. It was assigned to this organization in the NPPES registry on January 6, 2011. The provider is also known as Edgemon House.

Where is Life Bridges, Inc. located?

Life Bridges, Inc. is located at 209 Kile Lake Road, Cleveland, TN 37323. The listed phone number is (423) 472-5268.

What is Life Bridges, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Life Bridges, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0724713) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Life Bridges, Inc. was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.