LIFE BRIDGE LLC
NPI 1710603113
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Canton, OH
About Life Bridge Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFE BRIDGE LLC (NPI 1710603113), doing business as Life Bridge, is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Canton, Ohio and active in the NPI registry since October 2022. The organization lists Jason Shaffer, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CANTON, OH 44718
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 Bridge LLC's NPI number?
The NPI number for Life Bridge LLC is 1710603113. It was assigned to this organization in the NPPES registry on October 17, 2022. The provider is doing business as Life Bridge.
Where is Life Bridge LLC located?
Life Bridge LLC is located at 3722 Whipple Ave NW, Canton, OH 44718. The listed phone number is (330) 324-7785.
What is Life Bridge LLC'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 Bridge LLC was last updated on October 17, 2022. 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.
# Life Bridge Llc · NPI 1710603113
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Canton, Ohio. Organization record, active in the CMS NPPES registry since October 17, 2022.
## Identity
- **NPI:** 1710603113 (Entity type: Organization)
- **Enumerated:** October 17, 2022
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Also known as:** Life Bridge (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jason Shaffer, CEO
## Practice location
- **Address:** 3722 WHIPPLE AVE NW, Canton, OH 44718-2934
- **Phone:** (330) 324-7785
## Record status
- **NPPES last updated:** October 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1710603113) · Data from the CMS NPPES public registry.