NPIMap

Organization Active NPI

Senior Bridge Care LLC

  • Home Health Agency
  • Port Saint Lucie, FL
National Provider Identifier
1700521705
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SENIOR BRIDGE CARE LLC
Practice address
1860 SW Fountainview Blvd
Port Saint Lucie, FL 34986-4528
Phone
(561) 667-3335
NPI assigned
May 3, 2022
Last updated
May 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Mrs. Eunice M Peterkin
Title
Administrator/Owner
Phone
(561) 667-3335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1860 SW Fountainview Blvd
Port Saint Lucie, FL 34986-4528

Mailing address

1860 SW Fountainview Blvd Ste 43
Port Saint Lucie, FL 34986-4528

Other identifiers 1

IdentifierTypeStateIssuer
03312022OtherFLNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Info@seniorbridgecare.com Direct

National Provider Directory

National Provider Directory

Locations

1860 SW Fountainview Blvd
Ste 43
Port Saint Lucie, FL 34986

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1700521705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 SW FOUNTAINVIEW BLVD STE 43",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349864528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 SW FOUNTAINVIEW BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349864528",
            "telephone_number": "561-667-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR BRIDGE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-01",
        "status": "A",
        "authorized_official_last_name": "PETERKIN",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "561-667-3335",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "03312022",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Info@seniorbridgecare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Domain",
            "address_1": "1860 SW Fountainview Blvd",
            "city": "Port Saint Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349864528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.