Bridgeport Senior Living - Port Springs LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRIDGEPORT SENIOR LIVING - PORT SPRINGS LLC

Practice address

404 Spring Valley Rd
Altamonte Springs, FL 32714-5845

Phone

(407) 810-1344

NPI assigned

Mar 21, 2023

Organization subpart

No

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

Authorized official

Name

Adam Anthony

Title

Managing Partner

Phone

(407) 810-1344

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1174225254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 SPRING VALLEY RD",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145845",
            "telephone_number": "407-810-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 SPRING VALLEY RD",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145845",
            "telephone_number": "407-810-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEPORT SENIOR LIVING - PORT SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "407-810-1344"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Altamonte Springs, FL
• Providers in Altamonte Springs, 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 21, 2023; 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.