Life Bridge Services

LBN: Life Bridge Services
Life Bridge Services is an health care organization with primary practice located at 2705 Fulton Dr Nw , Canton OH 44718-3527. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Life Bridge Services can be contacted via phone (330) 546-7767, or through Shaffer, Jason S via phone (330) 546-7767.

Contact Information

Primary practice address
2705 Fulton Dr Nw Canton OH 44718-3527
Phone: (330) 546-7767
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shaffer, Jason S PHD
Phone: (330) 546-7767

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1265038418
LBN Legal business name Life Bridge Services
DBA Doing business as
Authorized official Shaffer, Jason S PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2020
Last updated Dec 11th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265038418 NPPES
Ohio MEDICAID 107108

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