Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: What is Bridge Of Life Support Services Inc's NPI number?

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

Q: What is Bridge Of Life Support Services Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

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: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Bridge Of Life Support Services Inc NPPES

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

BRIDGE OF LIFE SUPPORT SERVICES INC (NPI 1861383184) is a healthcare organization registered as a 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 Taxonomy320600000X

Legal Business NameBRIDGE OF LIFE SUPPORT SERVICES INC

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

Last NPPES UpdateNovember 2, 2026

NPPES CertifiedNovember 2, 2026

✔ NPI 1861383184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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 Inc's NPI number?

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

Where is Bridge Of Life Support Services Inc located?

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

What is Bridge Of Life Support Services Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Bridge Of Life Support Services Inc was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.