BRIDGEPORT SENIOR LIVING - PORT ISLE LLC
NPI 1124431762
Technician - Attendant Care Provider in Windermere, FL

Active since June 10, 2014
13506 SUMMERPORT VILLAGE PKWY, #129, WINDERMERE, FL 34786(407) 760-3649 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Technician
  • Attendant Care Provider

About BRIDGEPORT SENIOR LIVING - PORT ISLE LLC

This page provides the complete NPI Profile along with additional information for Bridgeport Senior Living - Port Isle Llc, a provider established in Windermere, Florida operating as a Technician, focusing in attendant care provider . The healthcare provider is registered in the NPI registry with number 1124431762 assigned on June 2014. The practitioner's primary taxonomy code is 3747A0650X with license number 12372 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kevin Galbasini (Owner)

NPI
1124431762 Verify this NPI
Provider Name
BRIDGEPORT SENIOR LIVING - PORT ISLE LLC
Entity Type
Organization
Location Address
13506 SUMMERPORT VILLAGE PKWY #129 WINDERMERE, FL 34786
Location Phone
(407) 760-3649
Mailing Address
13506 SUMMERPORT VILLAGE PKWY #129 WINDERMERE, FL 34786
Mailing Phone
(407) 760-3649
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-10-2014
Last Update Date
06-10-2014
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Technician Attendant Care Provider

Taxonomy Code
3747A0650X
Type
Nursing Service Related Providers
License No.
12372
License State
FL
Taxonomy Description
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEVIN GALBASINI

Authorized Official Title
OWNER
Authorized Official Phone
(407) 760-3649

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
13506 SUMMERPORT VILLAGE PKWY, #403
WINDERMERE, FL 34786
Psychiatry & Neurology (Neurology)
13506 SUMMERPORT VILLAGE PKWY, #413
WINDERMERE, FL 34786
Physical Therapy Assistant
13506 SUMMERPORT VILLAGE PKWY, SUITE 410
WINDERMERE, FL 34786
Physical Therapy Assistant
13506 SUMMERPORT VILLAGE PKWY, SUITE 410
WINDERMERE, FL 34786
Assisted Living Facility
13506 SUMMERPORT VILLAGE PKWY, 129
WINDERMERE, FL 34786
Anesthesiology
13506 SUMMERPORT VILLAGE PKWY, SUITE 811
WINDERMERE, FL 34786
Nurse Practitioner (Family)
13506 SUMMERPORT VILLAGE PKWY, STE 735
WINDERMERE, FL 34786
Speech-Language Pathologist
13506 SUMMERPORT VILLAGE PKWY, SUITE 410
WINDERMERE, FL 34786
Emergency Medicine
13506 SUMMERPORT VILLAGE PKWY, #341
WINDERMERE, FL 34786
Emergency Medicine
13506 SUMMERPORT VILLAGE PKWY, #341
WINDERMERE, FL 34786

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124431762, enumerated as an "organization" on June 10, 2014.

The provider is located at 13506 SUMMERPORT VILLAGE PKWY #129 WINDERMERE, FL 34786 and the phone number is (407) 760-3649.

Technician with taxonomy code 3747A0650X and a focus in Attendant Care Provider.