OPTIMUS HEALTH CARE INC (NPI# 1073992764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073992764 |
Entity Type | Organization |
Organization Name | OPTIMUS HEALTH CARE INC |
Other Organization Name | BRIDGES PRIMARY CARE CENTER |
Practice Address |
949 Bridgeport Ave Milford CT 06460-3142 |
Mailing Address |
982 E Main St Bridgeport CT 06608-1913 |
Practice Telephone | 2038786365 |
Practice Fax Number | 2036833615 |
Mailing Telephone | 2036963260 |
Mailing Fax Number | 2036833620 |
Enumeration Date | 2015-05-27 |
Last Update Date | 2015-05-27 |
Authorized Official Name | MR. LUDWIG SPINELLI (CEO) |
Authorized Official Telephone | 2036963260 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
0748 | CT | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 004234788 | 05 | |
CT | MEDICARE PART B C00383 | C00383 | 01 |
Other Name | Type Code |
---|---|
Bridges Primary Care Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235485236 | Optimus Health Care Inc | Clinic/Center | 3180 Main St Ste G1, Bridgeport, CT 06606-4237 | 2012-07-27 |
1780944736 | Optimus Health Care Inc | Clinic/Center | 597 Pacific St, Stamford, CT 06902-5814 | 2012-05-24 |
1164798138 | Optimus Health Care Inc | Clinic/Center | 8 Woodland Pl, Stamford, CT 06902-6939 | 2012-03-23 |
1346516317 | Optimus Health Care Inc | Clinic/Center | 1071 E Main St, Bridgeport, CT 06608-1618 | 2012-03-23 |
1609142678 | Optimus Health Care Inc | Clinic/Center | 138 Stillwater Ave, Stamford, CT 06902-4843 | 2012-03-23 |
1659641363 | Optimus Health Care Inc | Clinic/Center | 982 E Main St, Bridgeport, CT 06608-1913 | 2012-01-11 |
1932479409 | Optimus Health Care Inc | Clinic/Center | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2011-12-30 |
1215207782 | Optimus Health Care Inc | Clinic/Center | 82 George St, Bridgeport, CT 06604-3315 | 2011-12-30 |
1922378496 | Optimus Health Care Inc | Clinic/Center | 727 Honeyspot Rd, Stratford, CT 06615-7172 | 2011-12-30 |
1174893648 | Optimus Health Care Inc | Clinic/Center | 790 Central Ave, Bridgeport, CT 06607-1705 | 2011-12-30 |
Street Address |
949 BRIDGEPORT AVE |
City | MILFORD |
State | CT |
Zip Code | 06460-3142 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851350300 | Bridges Healthcare Inc. | Clinic/Center | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2006-03-22 |
1467059600 | Elizabeth Lobotsky | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2020-10-01 |
1679106546 | Erica Vaz | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2020-02-19 |
1508417619 | Luis T Rivera | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2019-09-20 |
1245892306 | Morgan Starr Radin | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2019-06-28 |
1033776695 | Colleen H Conroy | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2019-05-20 |
1003370313 | Lamont Dixon | Counselor | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2019-01-31 |
1801362454 | Jessica Frankel | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2018-10-22 |
1083190151 | Nicole Weston | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2018-07-12 |
1871079954 | Jennifer Downing | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2018-07-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
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Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.