C.F. Bridgeport, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

C.F. BRIDGEPORT, LLC

Doing business as

Bridgeport Place

Practice address

5250 Bridgeport Way W.
University Place, WA 98467

Phone

(253) 565-1960

Fax

(253) 565-1996

NPI assigned

Sep 7, 2017

Last updated

Oct 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Netanel Saidoff

Title

Manager

Phone

(310) 234-9598

Specialties & licenses 1

Addresses

Other names 1

• Bridgeport Place Doing business as

Locations

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1316465578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 BEVERLY GLEN",
            "address_2": "SUITE 300",
            "city": "BEL AIR",
            "state": "CA",
            "postal_code": "90077",
            "telephone_number": "310-234-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 BRIDGEPORT WAY W.",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "98467",
            "telephone_number": "253-565-1960",
            "fax_number": "253-565-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.F. BRIDGEPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "SAIDOFF",
        "authorized_official_first_name": "NETANEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-234-9598"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeport Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in University Place, WA
• Providers in University Place, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.