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NPI Code Detail

MEDICARE: BRIDGEWATER POST ACUTE LLC

MEDICARE: BRIDGEWATER POST ACUTE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1215868930
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIDGEWATER POST ACUTE LLC
Provider Business Mailing Address
First Line : 2400 E PARHAM RD
Second Line :
City : HENRICO
State : VA
Zip : 23228-3119
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2400 E PARHAM RD
Second Line :
City : HENRICO
State : VA
Zip : 23228-3119
Country : US
Telephone Number : 804-264-9185
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : MOSHE STERN
Credential :
Telephone Number : 848-249-7951
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “BRIDGEWATER POST ACUTE LLC ” Practice Location

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