Provider Type Icon

BRIDGEWATER PARK ASSISTED LIVING LLC NPI 1851811608


NPI Information

NPI: 1851811608
Provider Name: BRIDGEWATER PARK ASSISTED LIVING LLC

Doing Business As: BRIDGEWATER PARK ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D2133469

Address:
9174 SW 81ST CT
OCALA, FL
ZIP 34481
Phone: (352) 816-0254
Get Directions

BRIDGEWATER PARK ASSISTED LIVING LLC is an assisted living facility in Ocala, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BRIDGEWATER PARK ASSISTED LIVING LLC NPI is 1851811608. The provider is registered as an organization entity type.
The provider Is Doing Business As Bridgewater Park Assisted Living.

The provider's business location address is:

9174 SW 81ST CT
OCALA, FL
ZIP 34481-846
Phone: (352) 816-0254

The provider's authorized official is Cullen S Gibson .
The authorized official title is Coo and has the following contact phone number (765) 664-5400.

The CLIA number assigned to this NPI record is 10D2133469 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2017 and was last updated on 12/7/2022.


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
1310400000XAssisted Living FacilityFLORIDAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.