OrganizationActive
Life Bridges, Inc
NPI 1609524891 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Cleveland, TN
Provider details
- NPI number
- 1609524891
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ginger Davis, Cfo(423) 303-1914
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
764 Old Chattanooga Pike Sw
Cleveland, TN 37311-8566
Phone: (423) 472-5268
Fax: (423) 479-1492
Street-level locationGet directions
Mailing address
Po Box 29
Cleveland, TN 37364-0029
Registry dates
- Enumerated
- 2022-03-16
- Last updated
- 2023-04-27
- Certified
- 2023-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.