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JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INCORPORATED
NPI 1083602346
Skilled Nursing Facility in Bridgeport, CT

Active since October 11, 2005CLIA Certified · 2 labs
3/5
Overall Rating
4200 PARK AVE, BRIDGEPORT, CT 06604(203) 365-6400(203) 396-1108 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2025, Aug 14, 2024, Feb 19, 2019 (3 updates tracked since 2019).

About Jewish Home For The Elderly Of Fairfield County Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INCORPORATED (NPI 1083602346), doing business as Mozaic Senior Life, is a healthcare organization registered as a skilled nursing facility in Bridgeport, Connecticut and active in the NPI registry since October 2005. The organization holds 2 active CLIA laboratory certificates and lists Andrew H. Banoff, President/ Ceo, as its authorized official.

NPPES Registry Identity

NPI1083602346
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameJEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INCORPORATED
Location Address4200 PARK AVEBridgeport, CT 06604-1049
Mailing Address4200 Park AveBridgeport, CT 06604-1049 · (203) 365-6400 · Fax (203) 396-1108
Phone(203) 365-6400
Fax(203) 396-1108
Organization SubpartNo
Authorized OfficialAndrew H. BanoffPresident/ Ceo · (203) 365-6400
Enumeration DateOctober 11, 2005
Last NPPES UpdateMay 19, 20253 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
✔ NPI 1083602346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in CT · 923-C
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
4200 PARK AVE, Bridgeport, CT 06604
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Other Names 1

Doing Business AsMozaic Senior Life

Other Identifiers 3

Medicaid000091116CT
Medicaid004197051CT
Medicaid000009233CT

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D0861223

Jewish Home For The Elderly Of Fairfield County Attn-Kim Gintoli · Bridgeport, CT
Active · expires Aug 31, 2026
CLIA Number07D0861223
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRobin Mix
Laboratory Phone(203) 365-6400
Laboratory LocationJewish Home For The Elderly Of Fairfield County Attn-Kim Gintoli4200 Park Ave, Bridgeport, CT 06604
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D1103068

Jewish Home For The Elderly Of Fairfield Co , The Dba - Mozaic Hospice · Bridgeport, CT
Active · expires Jul 30, 2027
CLIA Number07D1103068
Laboratory TypeHome Health Agency
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorKathy Dellamura
Laboratory Phone(203) 396-1136
Laboratory LocationJewish Home For The Elderly Of Fairfield Co , The Dba - Mozaic Hospice4200 Park Avenue, Bridgeport, CT 06604
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Mozaic Senior Life (CMS certification number 075353), from CMS Care Compare.

Mozaic Senior Life

Nursing home · Bridgeport, CT
3/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number075353
Certified Beds360 beds277 residents per day on average
Medicare & Medicaid Participant SinceOctober 1, 1991
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
55.17
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.68 · LPN 1.01 · RN 0.59
4.29 hrs per resident per day
Weekend Nurse Staffing
3.56 hrs per resident per day
Physical Therapist Staffing
0.11 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
28.1%
Registered Nurse Turnover
24%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
2
Substantiated Complaints
1
Infection-Control Citations
0
Fines
4 totaling $70,698.00
Medicare Payment Denials
0
Total Penalties
4
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HALEY SCHAEFER DPT
Physical Therapist
4200 PARK AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 365-6443
LORI MIHALOV PT
Physical Therapist
4200 PARK AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 365-6443
BRENNA JANJIGIAN DPT
Physical Therapist
4200 PARK AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 365-6400
STACEY COOLEY BARDIN RN
Registered Nurse (Gerontology)
4200 PARK AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 364-8253
CARLA DA SILVA LPTA
Physical Therapy Assistant
4200 PARK AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 365-6443
KAYLA ABREU
Occupational Therapist
4200 PARK AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 365-6443
LEAH SUTO
Physical Therapist (Geriatrics)
4200 PARK AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 365-6443
DR. KENDALL MORGAN STEWART PT, DPT
Physical Therapist
4200 PARK AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 365-6400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jewish Home For The Elderly Of Fairfield County Incorporated's NPI number?

The NPI number for Jewish Home For The Elderly Of Fairfield County Incorporated is 1083602346. It was assigned to this organization in the NPPES registry on October 11, 2005. The provider is doing business as Mozaic Senior Life.

Where is Jewish Home For The Elderly Of Fairfield County Incorporated located?

Jewish Home For The Elderly Of Fairfield County Incorporated is located at 4200 Park Ave, Bridgeport, CT 06604. The listed phone number is (203) 365-6400.

What is Jewish Home For The Elderly Of Fairfield County Incorporated's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Jewish Home For The Elderly Of Fairfield County Incorporated hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Jewish Home For The Elderly Of Fairfield County Incorporated a Medicare-certified nursing home?

Yes. Mozaic Senior Life is a Medicare-certified nursing home with 360 certified beds.

What quality rating does Jewish Home For The Elderly Of Fairfield County Incorporated have?

CMS rates Mozaic Senior Life 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Jewish Home For The Elderly Of Fairfield County Incorporated was last updated on May 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.