Life Bridge LLC
NPI 1710603113 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Canton, OH
Life Bridge LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Canton, OH (NPI 1710603113).
Provider details
- NPI number
- 1710603113
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jason Shaffer, Ceo(330) 324-7785
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Other names (DBA / former)
- Doing business as
- Life Bridge
Registry dates
- Enumerated
- 2022-10-17
- Last updated
- 2022-10-17
- Certified
- 2022-10-12
Frequently asked questions
- What is Life Bridge LLC's NPI number?
- Life Bridge LLC's National Provider Identifier (NPI) is 1710603113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Bridge LLC?
- Life Bridge LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Life Bridge LLC located?
- Life Bridge LLC's practice location on file with NPPES is 3722 Whipple Ave Nw, Canton, OH 44718-2934.
- What is Life Bridge LLC's phone number?
- The practice phone number listed in the NPPES registry for Life Bridge LLC is (330) 324-7785.
- Who is the authorized official for Life Bridge LLC?
- The authorized official listed on Life Bridge LLC's NPPES record is Jason Shaffer, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Bridge LLC's NPI active?
- Yes — Life Bridge LLC's NPI (1710603113) is active in the NPPES registry as of the last update on 2022-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.