Bridge for the Life Health Service LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BRIDGE FOR THE LIFE HEALTH SERVICE LLC

Practice address

9405 Cypress Lake Dr Ste 2
Fort Myers, FL 33919-0909

Phone

(786) 290-8195

NPI assigned

Aug 11, 2021

Last updated

Aug 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mabel Peregrin DelgadoNPI 1801674338

Title

MBR

Phone

(786) 290-8195

Specialties & licenses 1

Addresses

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.

• Bridge for the Life Health Service LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1497420491
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mabel Linairis Peregrin Delgado

  • General Practice Dentistry
  • Beachwood, OH
  • NPI 1801674338
  NPD Authorized official
• Celia Guerra Suarez, B.S.

  • Case Manager/Care Coordinator
  • Miami, FL
  • NPI 1861742421
  NPD

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1659046647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9405 CYPRESS LAKE DR STE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339190909",
            "telephone_number": "786-290-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 CYPRESS LAKE DR STE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339190909",
            "telephone_number": "786-290-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE FOR THE LIFE HEALTH SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "PEREGRIN DELGADO",
        "authorized_official_first_name": "MABEL",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "786-290-8195"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian a Harris MD PA (Harris Dermatology)
• Brian D Kurland M D P a
• Brian K Doerr DPM PA
• Patricia June Briand, RN, CCM
• Scott James Brick, D.O.
• Bridges Home Health Inc. (Trilogy Home Healthcare)
• Adina Bridges, LCSW
• Jade Bridges, RN
• Teresa Brigagliano, PT, DPT
• Olga Vasylivna Briggs, RN, NP

• Behavior Analyst in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.