MEDICARE: BRIDGE OF SUPPORT SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1164382032
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIDGE OF SUPPORT SERVICES

Provider Business Mailing Address
First Line	:	3465 S ARLINGTON RD STE E
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44312-5272
Country	:	US
Telephone Number	:	330-957-4503
Fax Number	:

Provider Business Practice Location Address
First Line	:	2705 MAYFAIR CIR
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44312-5402
Country	:	US
Telephone Number	:	330-957-4503
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. RITA L ANDRUS
Credential	:
Telephone Number	:	330-957-4503

Provider Enumeration Date	:	11/13/2025
Last Update Date	:	11/13/2025

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Directions to “BRIDGE OF SUPPORT SERVICES ” Practice Location

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