MEDICARE: LIFE BRIDGE 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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1801733233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE BRIDGE SUPPORT SERVICES

Provider Business Mailing Address
First Line	:	1225 SE 6TH ST
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-2603
Country	:	US
Telephone Number	:	239-922-5689
Fax Number	:

Provider Business Practice Location Address
First Line	:	1225 SE 6TH ST
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-2603
Country	:	US
Telephone Number	:	239-922-5689
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YOANIS ALVAREZ
Credential	:
Telephone Number	:	239-922-5689

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “LIFE BRIDGE SUPPORT SERVICES ” Practice Location

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