Bridgeport Health Care Center, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

BRIDGEPORT HEALTH CARE CENTER, LLC

Practice address

RT 4 Box 17
Bridgeport, WV 26330-9509

Phone

(304) 842-4195

Fax

(304) 842-4398

NPI assigned

Jul 29, 2015

Last updated

Jul 29, 2015By 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

Mr. Todd R Jones

Title

Manager

Phone

(304) 344-1623

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard E Vasicek, DO

  • Family Medicine Physician
  • Fairmont, WV
  • NPI 1316037146
  NPD (past)

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1336524586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253220532",
            "telephone_number": "304-344-1623",
            "fax_number": "304-556-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 4 BOX 17",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309509",
            "telephone_number": "304-842-4195",
            "fax_number": "304-842-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEPORT HEALTH CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "304-344-1623",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgeport Behavioral Clinic
• Bridgeport Behavioral Medicine
• Bridgeport Center LLC (Stonerise Bridgeport)
• Bridgeport Express Care Inc
• Bridgeport Family Chiropractic
• Bridgeport Pharmacy Inc (Bridgeport Pharmacy)
• Bridgeport Physical Therapy Services, Inc.
• Bridgeport Physical Therapy Services, Inc.
• Bridgeport Prescription Shop LLC (Community Pharmacy of Bridgeport)
• Bridgeport Senior Living, LLC (The Heritage Senior Living Community)

• Nursing Facility/Intermediate Care Facility in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Nursing Facility/Intermediate Care Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.