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LIFE BRIDGES, INC
NPI 1609524891
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Cleveland, TN

Active since March 16, 2022
764 OLD CHATTANOOGA PIKE SW, CLEVELAND, TN 37311(423) 472-5268(423) 479-1492 Get Directions Write a Review

NPPES record last updated: April 27, 2023. 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 1609524891) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Cleveland, Tennessee and active in the NPI registry since March 2022. The organization lists Ginger Davis, Cfo, as its authorized official.

NPPES Registry Identity

NPI1609524891
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameLIFE BRIDGES, INC
Location Address764 OLD CHATTANOOGA PIKE SWCleveland, TN 37311-8566
Mailing AddressPo Box 29Cleveland, TN 37364-0029 · (142) 347-2526
Phone(423) 472-5268
Fax(423) 479-1492
Organization SubpartNo
Authorized OfficialGinger DavisCfo · (423) 303-1914
Enumeration DateMarch 16, 2022
Last NPPES UpdateApril 27, 2023
NPPES CertifiedApril 27, 2023
✔ NPI 1609524891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
764 OLD CHATTANOOGA PIKE SW, Cleveland, TN 37311
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Other Identifiers 1

Medicaid3722363TN

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LISA COOPER COPELAND MS CCC-SLP
Speech-Language Pathologist
764 OLD CHATTANOOGA PIKE SW
CLEVELAND, TN 37311
Bradley County (423) 472-5268
MARY THOMASON
Dietitian, Registered
764 OLD CHATTANOOGA PIKE SW
CLEVELAND, TN 37311
Bradley County (423) 472-5268
DEBRA WITTMAIER RN, PA
Physician Assistant
764 OLD CHATTANOOGA PIKE SW
CLEVELAND, TN 37311
Bradley County (423) 303-1959
MRS. HOLLY BETH SALICCO BCBA
Behavior Analyst
764 OLD CHATTANOOGA PIKE SW
CLEVELAND, TN 37311
Bradley County (423) 472-5268

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 1609524891. It was assigned to this organization in the NPPES registry on March 16, 2022.

Where is Life Bridges, Inc located?

Life Bridges, Inc is located at 764 Old Chattanooga Pike SW, Cleveland, TN 37311. The listed phone number is (423) 472-5268.

What is Life Bridges, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Life Bridges, Inc was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.