Bridgeport SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BRIDGEPORT SNF LLC

Doing business as

Bridgeport Rehabilitation & Healthcare Center

Practice address

41 Crestview Ter
Bridgeport, WV 26330-1010

Phone

(304) 842-7101

NPI assigned

Jul 20, 2026

Last updated

Jul 20, 2026By 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

Simcha Werner

Title

Authorized Official

Phone

(917) 705-2492

Specialties & licenses 1

Addresses

Other names 1

• Bridgeport Rehabilitation & Healthcare Center Doing business as

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1659291664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CRESTVIEW TER",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CRESTVIEW TER",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301010",
            "telephone_number": "304-842-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEPORT SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "SIMCHA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "917-705-2492"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeport Rehabilitation & Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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)
• Bridgeport Senior Living, LLC (The Heritage)
• Geannine Britanak-Gulas, LPN
• Samuel Eli Brookover, MOTR/L
• Jamie L Brown, PRSS
• Kendra Marie Brown, RN
• Savanna Tamia Brown, MSW

• Skilled Nursing Facility in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Skilled Nursing Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.