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Contact Information

BRIDGEPORT HEALTH CARE CENTER, INC
540 BOND STREET
BRIDGEPORT, CT06610
 Phone: 203-384-6400
 Fax: 203-384-6499
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for BRIDGEPORT HEALTH CARE CENTER, INC

NPI # 1003909623
LBN Legal business name BRIDGEPORT HEALTH CARE CENTER, INC
Authorized official CHRISTOPHER MASSARO - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CT License # 2079-C
CT Medicaid 9000020793
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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