Provider Demographics
NPI:1811522303
Name:BRIDGEPOINTE ASSISTED LIVING FACILITY LLC
Entity type:Organization
Organization Name:BRIDGEPOINTE ASSISTED LIVING FACILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-294-1012
Mailing Address - Street 1:113 NE 7TH ST
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-6133
Mailing Address - Country:US
Mailing Address - Phone:954-533-7095
Mailing Address - Fax:
Practice Address - Street 1:113 NE 7TH ST
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-6133
Practice Address - Country:US
Practice Address - Phone:954-533-7095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRIDGEPOINTE ASSISTED LIVING FACILITY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-05
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty