Bristol SNF Operations, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

BRISTOL SNF OPERATIONS, LLC

Practice address

23 Fair St
Bristol, CT 06010-5531

Phone

(860) 589-2923

NPI assigned

Jan 22, 2025

Organization subpart

Yes

Parent organization

BRISTOL SNF OPERATIONS, LLCAs reported in NPPES

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

Authorized official

Name

Phil Bak

Title

Managing Parner

Phone

(908) 783-3110

Specialties & licenses 1

Addresses

Tax ID family

Bristol SNF Operations LLC2 organizations share this tax ID, including this one

Part of

Bristol SNF Operations LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bristol SNF Operations, LLC

  • Skilled Nursing Facility
  • Bristol, CT
  • NPI 1669283883
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Bristol SNF Operations, LLC

  • Skilled Nursing Facility
  • Bristol, CT
  • NPI 1669283883
  NPPES parent name

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1861204307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 FAIR ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 FAIR ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105531",
            "telephone_number": "860-589-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL SNF OPERATIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRISTOL SNF OPERATIONS, LLC",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "BAK",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "MANAGING PARNER",
        "authorized_official_telephone_number": "908-783-3110"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bristol Physical Therapy, LLC
• Bristol Plaza Family Dental
• Bristol Primary Care LLC
• Bristol Radiation Oncology Center
• Bristol SNF Operations, LLC
• Bristol Surgical Group, P.C.
• Bristol Urologic Associates PC
• Bristol Your Eyes
• Bristol-Burlington Health District
• Margaret Archer Brock, LMSW

• Nursing Facility/Intermediate Care Facility in Bristol, CT
• Providers in Bristol, CT by specialty
• Nursing Facility/Intermediate Care Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.