Broome Health Care Service LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0301306N Issued in NY

Legal business name

BROOME HEALTH CARE SERVICE LLC

Doing business as

Bridgewater Center for Nursing and Rehabilitation

Practice address

159 Front St
Binghamton, NY 13905-3103

Phone

(607) 722-7225

Fax

(607) 724-8765

NPI assigned

Mar 21, 2006

Last updated

Aug 22, 2020By 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. Efriam Steiff

Title

Operating Member

Phone

(845) 426-5600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BRIDGEWATER CENTER FOR NURSING AND REHABILITATION Doing business as

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578522157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 FRONT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139053103",
            "telephone_number": "607-722-7225",
            "fax_number": "607-724-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 FRONT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139053103",
            "telephone_number": "607-722-7225",
            "fax_number": "607-724-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOME HEALTH CARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEIFF",
        "authorized_official_first_name": "EFRIAM",
        "authorized_official_title_or_position": "OPERATING MEMBER",
        "authorized_official_telephone_number": "845-426-5600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0301306N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00309664",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIDGEWATER CENTER FOR NURSING AND REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.