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BRIDGEVIEW CENTER LLC NPI 1821086091


NPI Information

NPI: 1821086091
Provider Name: BRIDGEVIEW CENTER, LLC

Doing Business As: BRIDGEVIEW CENTER

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 10D1011497

Address:
350 S RIDGEWOOD AVE
ORMOND BEACH, FL
ZIP 32174
Phone: (386) 677-4545
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BRIDGEVIEW CENTER, LLC is a skilled nursing facility in Ormond Beach, FL. The provider is (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. BRIDGEVIEW CENTER, LLC NPI is 1821086091. The provider is registered as an organization entity type.
The provider Is Doing Business As Bridgeview Center.

The provider's business location address is:

350 S RIDGEWOOD AVE
ORMOND BEACH, FL
ZIP 32174-028
Phone: (386) 677-4545
Fax: (386) 677-3445

The provider's authorized official is Jennifer Alise Ziolkowski .
The authorized official title is Vp Finance and has the following contact phone number (813) 558-6629.

The CLIA number assigned to this NPI record is 10D1011497 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2005 and was last updated on 2/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1314000000XSkilled Nursing FacilitySNF10590961FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C105402OTHERFLORIDAUNITED AMERICAN
20007930518OTHERFLORIDAAETNA
3026037100MEDICAIDFLORIDA
4105402MEDICARE OSCAR/CERTIFICATION
5N98OTHERFLORIDABLUE CROSS BLUE SHIELD
6========= 32174 0000OTHERFLORIDATRICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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