LIFEBRIDGE SUPPORTED LIVING LLC
NPI 1912896572
Clinic/Center in Albuquerque, NM

Q: What is Lifebridge Supported Living LLC's NPI number?

The NPI number for Lifebridge Supported Living LLC is 1912896572. It was assigned to this organization in the NPPES registry on June 30, 2025.

Q: What is Lifebridge Supported Living LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since June 30, 2025

4113 EUBANK BLVD NE STE 200D, ALBUQUERQUE, NM 87111(470) 461-7149 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Lifebridge Supported Living Llc NPPES

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

LIFEBRIDGE SUPPORTED LIVING LLC (NPI 1912896572) is a healthcare organization registered as a clinic/center in Albuquerque, New Mexico and active in the NPI registry since June 2025. The organization lists Raphael Onyekachi, Excutive Director, as its authorized official.

NPPES Registry Identity

NPI1912896572

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameLIFEBRIDGE SUPPORTED LIVING LLC

Location Address4113 EUBANK BLVD NE STE 200DAlbuquerque, NM 87111-3482

Mailing Address4113 Eubank Blvd Ne Ste 200dAlbuquerque, NM 87111-3482 · (470) 461-7149

Phone(470) 461-7149

Organization SubpartNo

Authorized OfficialRaphael OnyekachiExcutive Director · (147) 046-1714

Enumeration DateJune 30, 2025

Last NPPES UpdateJuly 24, 2025

NPPES CertifiedJuly 24, 2025

✔ NPI 1912896572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

4113 EUBANK BLVD NE STE 200D, Albuquerque, NM 87111

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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 Lifebridge Supported Living LLC's NPI number?

The NPI number for Lifebridge Supported Living LLC is 1912896572. It was assigned to this organization in the NPPES registry on June 30, 2025.

Where is Lifebridge Supported Living LLC located?

Lifebridge Supported Living LLC is located at 4113 Eubank Blvd NE Ste 200D, Albuquerque, NM 87111. The listed phone number is (470) 461-7149.

What is Lifebridge Supported Living LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Lifebridge Supported Living LLC was last updated on July 24, 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.