NPIMap

Organization Active NPI

Bridge for the Life Health Service LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
National Provider Identifier
1497420491
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BRIDGE FOR THE LIFE HEALTH SERVICE LLC
Practice address
5040 NW 7TH St Ste 660
Miami, FL 33126-3485
Phone
(305) 900-2361
Fax
(305) 900-2371
NPI assigned
Aug 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Celia Guerra SuarezNPI 1861742421
Title
Owner
Phone
(305) 900-2361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5040 NW 7TH St Ste 660
Miami, FL 33126-3485

Mailing address

5040 NW 7TH St Ste 660
Miami, FL 33126-3485
Phone (305) 900-2361

Other identifiers 2

IdentifierTypeStateIssuer
111423200MedicaidFL
125264400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220301001015 FL Part B Supplier - Clinic/Group Practice 9931593324 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Bridge for the Life Health Service LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8180 NW 36th St
Ste 316
Doral, FL 33166
Phone (786) 290-8195

5040 NW 7th St
Ste 660
Miami, FL 33126
Phone (305) 900-2361

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1497420491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 NW 7TH ST STE 660",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263485",
            "telephone_number": "305-900-2361",
            "fax_number": "305-900-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 NW 7TH ST STE 660",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263485",
            "telephone_number": "305-900-2361",
            "fax_number": "305-900-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE FOR THE LIFE HEALTH SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "GUERRA SUAREZ",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-900-2361"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111423200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125264400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.