Bridge of Life Support Services
NPI 1861383184 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Tavares, FL
Bridge of Life Support Services is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Tavares, FL (NPI 1861383184).
Provider details
- NPI number
- 1861383184
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tamara Shade, Administrator(407) 813-3696
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
1 yr 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
Registry dates
- Enumerated
- 2025-07-14
- Last updated
- 2025-07-14
- Certified
- 2025-07-14
Frequently asked questions
- What is Bridge of Life Support Services's NPI number?
- Bridge of Life Support Services's National Provider Identifier (NPI) is 1861383184, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bridge of Life Support Services?
- Bridge of Life Support Services is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Bridge of Life Support Services located?
- Bridge of Life Support Services's practice location on file with NPPES is 2201 Motley Way, Tavares, FL 32778-4919.
- What is Bridge of Life Support Services's phone number?
- The practice phone number listed in the NPPES registry for Bridge of Life Support Services is (407) 813-3696.
- Who is the authorized official for Bridge of Life Support Services?
- The authorized official listed on Bridge of Life Support Services's NPPES record is Tamara Shade, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bridge of Life Support Services's NPI active?
- Yes — Bridge of Life Support Services's NPI (1861383184) is active in the NPPES registry as of the last update on 2025-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.