BRIDGEPORT HEALTH CARE CENTER, LLC
NPI 1336524586
Nursing Facility/Intermediate Care Facility in Bridgeport, WV
NPI Status: Active since July 29, 2015
Contact Information
RT 4 BOX 17
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 842-4195
Fax: (304) 842-4398
- Organization
- Nursing Facility/Intermediate Care Facil...
- CLIA Number: 51D1093221
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-15-2025
About BRIDGEPORT HEALTH CARE CENTER, LLC
This page provides the complete NPI Profile along with additional information for Bridgeport Health Care Center, Llc, a provider established in Bridgeport, West Virginia operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1336524586 assigned on July 2015. The practitioner's primary taxonomy code is 313M00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Todd R Jones (Manager)
- NPI
- 1336524586
- Provider Name
- BRIDGEPORT HEALTH CARE CENTER, LLC
- Entity Type
- Organization
- Location Address
- RT 4 BOX 17 BRIDGEPORT, WV 26330
- Location Phone
- (304) 842-4195
- Location Fax
- (304) 842-4398
- Mailing Address
- PO BOX 532 CHARLESTON, WV 25322
- Mailing Phone
- (304) 344-1623
- Mailing Fax
- (304) 842-4398
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-29-2015
- Last Update Date
- 07-29-2015
- Code Navigator
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
Nursing Facility/Intermediate Care Facility
- Taxonomy Code
- 313M00000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 51D1093221
- Facility Type
- Physician Office
- Certificate Effective Date
- December 16, 2023
- Certificate Expiration Date
- December 15, 2025
- Laboratory Director
- DR. TIMOTHY M. PEASAK
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Bridgeport Health Care Center, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1336524586, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336524586, enumerated as an "organization" on July 29, 2015.
The provider is located at RT 4 BOX 17 BRIDGEPORT, WV 26330 and the phone number is (304) 842-4195.
Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.
