NORTHBRIDGE HEALTH CARE CENTER, INC. (NPI# 1558314955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558314955 |
| Entity Type | Organization |
| Organization Name | NORTHBRIDGE HEALTH CARE CENTER, INC. |
| Other Organization Name | NORTHBRIDGE HEALTH CARE CENTER |
| Practice Address |
2875 Main Street Bridgeport CT 06606 |
| Practice Telephone | 2033360232 |
| Practice Fax Number | 2033360234 |
| Mailing Telephone | 2033360232 |
| Mailing Fax Number | 2033360234 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2017-11-21 |
| Authorized Official Name | MICHAEL MOSIER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8607513900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2183C | CT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | HEALTHNET | IR8003 | 01 |
| CT | 000010835 | 05 |
| Other Name | Type Code |
|---|---|
| Northbridge Health Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952744633 | Northbridge Health Care Center, Inc. | Skilled Nursing Facility | 2875 Main St, Bridgeport, CT 06606-4204 | 2013-04-11 |
| Street Address |
2875 MAIN STREET |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205171626 | Part Avenue Medical Associates, LLC | Skilled Nursing Facility | 80 Hooker Rd, Bridgeport, CT 06610-1316 | 2012-12-11 |
| 1033470786 | David Daryl Vaught | Skilled Nursing Facility | Rr 5 Box 108-c, Bridgeport, WV 26330 | 2012-05-30 |
| 1982918470 | Emericare Heritage LLC | Skilled Nursing Facility | Route 4, 17, Bridgeport, WV 26330-9804 | 2010-07-27 |
| 1376795146 | Robert Barry | Skilled Nursing Facility | 1413 Old Town Rd, Bridgeport, CT 06606-1442 | 2008-10-10 |
| 1275704462 | Watermark 3030 Park LLC | Skilled Nursing Facility | 3030 Park Ave, Bridgeport, CT 06604 | 2008-03-17 |
| 1104946813 | The New Coleman Park | Skilled Nursing Facility | 62 Coleman St, Bridgeport, CT 06604-3419 | 2007-03-29 |
| 1003909623 | Bridgeport Health Care Center, Inc | Skilled Nursing Facility | 540 Bond Street, Bridgeport, CT 06610 | 2006-10-02 |
| 1891803490 | Heritage of Bridgeport, Inc | Skilled Nursing Facility | 505 O St, Bridgeport, NE 69336-4045 | 2006-08-25 |
| 1679515183 | Heartland-lansing of Bridgeport Oh LLC | Skilled Nursing Facility | 68222 Commercial Dr, Bridgeport, OH 43912-1520 | 2006-06-11 |
| 1972594182 | Parcc Healthcare Inc | Skilled Nursing Facility | 725 Park Avenue, Bridgeport, CT 06604 | 2005-11-04 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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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.