BRIDGEPORT SENIOR LIVING, LLC is a nursing facility intermediate care facility in Bridgeport, WV. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. BRIDGEPORT SENIOR LIVING, LLC NPI is 1255427415. The provider is registered as an organization entity type.
The provider Is Doing Business As The Heritage.
The provider's business location address is:
RR 4 BOX 17
BRIDGEPORT, WV
ZIP 26330-509
Phone: (304) 842-4135
The provider's authorized official is Jon M. Harder .
The authorized official title is Mgr. Bridgeport Senior Living, Llc and has the following contact phone number (503) 375-9016.
The CLIA number assigned to this NPI record is 51D0670488 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/5/2006 and was last updated on 8/22/2020.