Bridgeport Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL2280 Issued in FL

Legal business name

BRIDGEPORT SENIOR LIVING LLC

Practice address

8341 Lake Crowell Cir
Orlando, FL 32836-5931

Phone

(407) 730-2582

Fax

(407) 730-2642

NPI assigned

Mar 28, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kevin Galbasini

Title

Owner

Phone

(407) 760-3649

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1083957039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13546 DARCHANCE RD",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866305",
            "telephone_number": "407-760-3648",
            "fax_number": "877-784-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8341 LAKE CROWELL CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365931",
            "telephone_number": "407-730-2582",
            "fax_number": "407-730-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEPORT SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "GALBASINI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-760-3649",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL2280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Orlando, FL
• Providers in Orlando, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.