Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BRISTOL VILLAGE, INC.
NPI 1194636878
Assisted Living Facility in Clarence Center, NY

Active since September 14, 2026CLIA 33D2128379 · Waiver
8455 CLARENCE CENTER RD, CLARENCE CENTER, NY 14032(716) 406-9500 Get Directions Write a Review

NPPES record added: September 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bristol Village, Inc. NPPES

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

BRISTOL VILLAGE, INC. (NPI 1194636878) is a healthcare organization registered as an assisted living facility in Clarence Center, New York and active in the NPI registry since September 2026. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jeffrey P Bernacki, Controller, as its authorized official.

NPPES Registry Identity

NPI1194636878
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBRISTOL VILLAGE, INC.
Location Address8455 CLARENCE CENTER RDClarence Center, NY 14032-9315
Mailing Address8455 Clarence Center RdClarence Center, NY 14032-9315 · (716) 406-9500
Organization SubpartNo
Authorized OfficialJeffrey P BernackiController · (716) 406-9500
Enumeration DateSeptember 14, 2026
NPPES CertifiedSeptember 14, 2026
✔ NPI 1194636878 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.
8455 CLARENCE CENTER RD, Clarence Center, NY 14032

CLIA Laboratory Certificates CMS CLIA

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 33D2128379

Bristol Village · Clarence Center, NY
Active · expires Mar 26, 2027
CLIA Number33D2128379
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 29, 2017
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Nelda S. Lawler
Laboratory Phone(716) 406-9500
Laboratory LocationBristol Village8455 Clarence Center Road, Clarence Center, NY 14032
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bristol Village, Inc.'s NPI number?

The NPI number for Bristol Village, Inc. is 1194636878. It was assigned to this organization in the NPPES registry on September 14, 2026.

Where is Bristol Village, Inc. located?

Bristol Village, Inc. is located at 8455 Clarence Center Rd, Clarence Center, NY 14032. The listed phone number is (716) 406-9500.

What is Bristol Village, Inc.'s specialty?

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

Does Bristol Village, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2128379) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bristol Village, Inc. was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.