Bristol Village, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRISTOL VILLAGE, INC.

Practice address

8455 Clarence Center Rd
Clarence Center, NY 14032-9315

Phone

(716) 406-9500

NPI assigned

Sep 14, 2026

Organization subpart

No

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

Authorized official

Name

Jeffrey P Bernacki

Title

Controller

Phone

(716) 406-9500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1194636878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455 CLARENCE CENTER RD",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329315",
            "telephone_number": "716-406-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 CLARENCE CENTER RD",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329315",
            "telephone_number": "716-406-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "BERNACKI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "716-406-9500"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.