Healthcare Provider Details

I. General information

NPI: 1356346274
Provider Name (Legal Business Name): BRIDGEWATER HOME, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 N 2ND ST
BRIDGEWATER VA
22812-1712
US

IV. Provider business mailing address

302 N 2ND ST
BRIDGEWATER VA
22812-1799
US

V. Phone/Fax

Practice location:
  • Phone: 540-828-2550
  • Fax: 540-828-2668
Mailing address:
  • Phone: 540-828-2550
  • Fax: 540-828-2668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNH2520
License Number StateVA

VIII. Authorized Official

Name: RODNEY ALDERFER
Title or Position: PRESIDENT
Credential:
Phone: 540-828-2550