Provider Demographics
NPI:1386536183
Name:BRIDGES TO LIFE COMMUNITY SERVICES
Entity type:Organization
Organization Name:BRIDGES TO LIFE COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-815-2263
Mailing Address - Street 1:4586 REINBEAU DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-5729
Mailing Address - Country:US
Mailing Address - Phone:614-815-2263
Mailing Address - Fax:
Practice Address - Street 1:4586 REINBEAU DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-5729
Practice Address - Country:US
Practice Address - Phone:614-815-2263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health