BRIDGEPORT PLACE
NPI 1316465578
Assisted Living Facility in University Place, WA

Active since September 07, 2017CLIA 50D2136998 · Waiver
5250 BRIDGEPORT WAY W., UNIVERSITY PLACE, WA 98467(253) 565-1960(253) 565-1996 Get Directions Write a Review

NPPES record last updated: October 5, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bridgeport Place NPPES

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

BRIDGEPORT PLACE (NPI 1316465578) is a healthcare organization registered as an assisted living facility in University Place, Washington and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Netanel Saidoff, Manager, as its authorized official.

NPPES Registry Identity

NPI1316465578
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameC.F. BRIDGEPORT, LLC
Location Address5250 BRIDGEPORT WAY W.University Place, WA 98467
Mailing Address2980 Beverly Glen, Suite 300Bel Air, CA 90077 · (310) 234-9598
Fax(253) 565-1996
Organization SubpartNo
Authorized OfficialNetanel SaidoffManager · (310) 234-9598
Enumeration DateSeptember 7, 2017
Last NPPES UpdateOctober 5, 2017
NPI 1316465578 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.
5250 BRIDGEPORT WAY W., University Place, WA 98467

Other Names 1

Doing Business AsBridgeport Place

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 50D2136998

Bridgeport Place · University Place, WA
Active · expires Apr 4, 2028
CLIA Number50D2136998
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 19, 2017
Certificate Expiration DateApril 4, 2028
Laboratory DirectorWinnie Kanguchu
Laboratory Phone(253) 565-1960
Laboratory LocationBridgeport Place5250 Bridgeport Way W, University Place, WA 98467
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 C.F. Bridgeport, LLC's NPI number?

The NPI number for C.F. Bridgeport, LLC is 1316465578. It was assigned to this organization in the NPPES registry on September 7, 2017. The provider is doing business as Bridgeport Place.

Where is C.F. Bridgeport, LLC located?

C.F. Bridgeport, LLC is located at 5250 Bridgeport Way W., University Place, WA 98467. The listed phone number is (253) 565-1960.

What is C.F. Bridgeport, LLC's specialty?

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

Does C.F. Bridgeport, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2136998) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for C.F. Bridgeport, LLC was last updated on October 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.