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General NPI Number Information
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NPI Number | 1811522303
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Entity Type | Organization
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Legal Business Name | BRIDGEPOINTE ASSISTED LIVING FACILITY LLC
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Dates
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Enumeration Date | 03/05/2020
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Last Update Date | 11/16/2023
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Provider Practice Location Address
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Address Line | 113 NE 7TH ST
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City | POMPANO BEACH
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State | FL
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Zip | 33060-6133
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Country | US
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Telephone | 954-533-7095
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Fax |
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Provider Business Mailing Address
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Address Line | 113 NE 7TH ST
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City | POMPANO BEACH
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State | FL
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Zip | 33060-6133
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Country | US
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Telephone | 954-533-7095
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Fax |
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Authorized Official
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Title or Position | RN DIRECTOR OF NURSING
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Name | BRIDGETTE SIMPO
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Credential |
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Telephone | 954-294-1012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | NULL
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