2028 Bridgeport Avenue Operating Company II LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2281 Issued in CT

Legal business name

2028 BRIDGEPORT AVENUE OPERATING COMPANY II LLC

Practice address

2028 Bridgeport Ave
Milford, CT 06460-4613

Phone

(203) 887-0371

Fax

(203) 882-8760

NPI assigned

Jul 13, 2005

Organization subpart

No

Name

Kevin Breslin

Title

Executive VP

Phone

(201) 242-4004

• Golden Hill Health Care Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003814948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 BRIDGEPORT AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604613",
            "telephone_number": "203-887-0371",
            "fax_number": "203-882-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 BRIDGEPORT AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604613",
            "telephone_number": "203-887-0371",
            "fax_number": "203-882-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2028 BRIDGEPORT AVENUE OPERATING COMPANY II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRESLIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "201-242-4004"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Hill Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Milford, CT
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.