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THE RESIDENCES AT SENIOR CARE
NPI 1114469046
Assisted Living Facility in Bridgeport, TX

Active since November 09, 2016
2106 15TH ST, BRIDGEPORT, TX 76426(940) 683-6307(940) 683-5307 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Residences At Senior Care NPPES

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

THE RESIDENCES AT SENIOR CARE (NPI 1114469046) is a healthcare organization registered as an assisted living facility in Bridgeport, Texas and active in the NPI registry since November 2016. The organization lists Douglas B Boulware, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1114469046
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePMG OPCO-BRIDGEPORT LLC
Location Address2106 15TH STBridgeport, TX 76426-2073
Mailing Address2106 15th StBridgeport, TX 76426-2073 · (940) 683-6307 · Fax (940) 683-5307
Phone(940) 683-6307
Fax(940) 683-5307
Organization SubpartNo
Authorized OfficialDouglas B BoulwareManaging Member · (318) 658-9977
Enumeration DateNovember 9, 2016
✔ NPI 1114469046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2106 15TH ST, Bridgeport, TX 76426
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Other Names 1

Doing Business AsThe Residences At Senior Care

Other Providers at the Same Location NPPES

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

SCC PARTNERS, INC.
Assisted Living Facility
2106 15TH ST
BRIDGEPORT, TX 76426
Wise County (940) 683-6307

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 Pmg Opco-Bridgeport LLC's NPI number?

The NPI number for Pmg Opco-Bridgeport LLC is 1114469046. It was assigned to this organization in the NPPES registry on November 9, 2016. The provider is doing business as The Residences At Senior Care.

Where is Pmg Opco-Bridgeport LLC located?

Pmg Opco-Bridgeport LLC is located at 2106 15th St, Bridgeport, TX 76426. The listed phone number is (940) 683-6307.

What is Pmg Opco-Bridgeport LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Pmg Opco-Bridgeport LLC was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.