Jewish Home for the Elderly of Fairfield County Incorporated

A Medicare group practice based in Bridgeport, CT: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6901706332), with 19 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6901706332The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospice, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
CT
Enrollments
3
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040112000189 CT Part A Provider - Skilled Nursing Facility 1083602346
O20140610000429 CT Part B Supplier - Clinic/Group Practice 1285962928
O20120130000891 CT Part A Provider - Hospice 1518107960

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 19

Clinicians who reassign their Medicare benefits to this group (19) or whom Care Compare lists as members (9).

Sources for this page