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BRIDGE OF LIFE SUPPORT SERVICES
NPI 1861383184
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Tavares, FL

Active since July 14, 2025
2201 MOTLEY WAY, TAVARES, FL 32778(407) 813-3696(407) 813-3696 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bridge Of Life Support Services NPPES

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

BRIDGE OF LIFE SUPPORT SERVICES (NPI 1861383184) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Tavares, Florida and active in the NPI registry since July 2025. The organization lists Tamara Shade, Administrator, as its authorized official.

NPPES Registry Identity

NPI1861383184
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBRIDGE OF LIFE SUPPORT SERVICES
Location Address2201 MOTLEY WAYTavares, FL 32778-4919
Mailing Address2201 Motley WayTavares, FL 32778-4919 · (407) 813-3696 · Fax (407) 813-3696
Phone(407) 813-3696
Fax(407) 813-3696
Organization SubpartNo
Authorized OfficialTamara ShadeAdministrator · (407) 813-3696
Enumeration DateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1861383184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2201 MOTLEY WAY, Tavares, FL 32778
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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 Bridge Of Life Support Services's NPI number?

The NPI number for Bridge Of Life Support Services is 1861383184. It was assigned to this organization in the NPPES registry on July 14, 2025.

Where is Bridge Of Life Support Services located?

Bridge Of Life Support Services is located at 2201 Motley Way, Tavares, FL 32778. The listed phone number is (407) 813-3696.

What is Bridge Of Life Support Services'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 Bridge Of Life Support Services was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.