Organization Active NPI

Bridgeway of Bensenville Independent Living LLC

  • Assisted Living Facility
  • Bensenville, IL
National Provider Identifier
1184469082
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BRIDGEWAY OF BENSENVILLE INDEPENDENT LIVING LLC
Practice address
303 E Washington St
Bensenville, IL 60106-3515
Phone
(630) 766-0605
Fax
(630) 766-0752
NPI assigned
Jul 1, 2024
Organization subpart
Yes
Parent organization
BRIDGEWAY OF BENSENVILLE INDEPENDENT LIVING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Ms. Anna Sarah Salazar Dujua
Title
Director of a/R
Phone
(630) 217-1014

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Alzheimer Center (Dementia Center) 311500000X

Addresses

Primary practice location

303 E Washington St
Bensenville, IL 60106-3515

Mailing address

303 E Washington St
Bensenville, IL 60106-3515
Phone (630) 766-0605

Other names 1

  • Bridgeway Supportive Living Community Doing business as

National Provider Directory

National Provider Directory
Part of
Bridgeway of Bensenville Independent Living LLC

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1184469082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E WASHINGTON ST",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063515",
            "telephone_number": "630-766-0605",
            "fax_number": "630-766-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E WASHINGTON ST",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063515",
            "telephone_number": "630-766-0605",
            "fax_number": "630-766-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY OF BENSENVILLE INDEPENDENT LIVING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIDGEWAY OF BENSENVILLE INDEPENDENT LIVING LLC",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "SALAZAR DUJUA",
        "authorized_official_first_name": "ANNA SARAH",
        "authorized_official_title_or_position": "DIRECTOR OF A/R",
        "authorized_official_telephone_number": "630-217-1014",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeway Supportive Living Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bensenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.