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MOZAIC ADULT FAMILY LIVING
NPI 1619189941
Clinic/Center - Adult Day Care in Bridgeport, CT

Active since May 07, 2007
4200 PARK AVE, BRIDGEPORT, CT 06604(203) 365-6455(203) 396-1108 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2024, Jan 30, 2020, Jan 24, 2020 and 1 more (4 updates tracked since 2019).

About Mozaic Adult Family Living NPPES

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

MOZAIC ADULT FAMILY LIVING (NPI 1619189941) is a healthcare organization registered as an adult day care in Bridgeport, Connecticut and active in the NPI registry since May 2007. The organization lists Evangelyn Peterson, Controller, as its authorized official.

NPPES Registry Identity

NPI1619189941
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameTHE JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INC
Location Address4200 PARK AVEBridgeport, CT 06604-1049
Mailing Address4200 Park AveBridgeport, CT 06604-1049 · (203) 365-6455 · Fax (203) 396-1108
Phone(203) 365-6455
Fax(203) 396-1108
Organization SubpartNo
Authorized OfficialEvangelyn PetersonController · (203) 396-6455
Enumeration DateMay 7, 2007
Last NPPES UpdateAugust 14, 20244 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1619189941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
4200 PARK AVE, Bridgeport, CT 06604
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Other Names 2

Doing Business AsMozaic Adult Family Living
Doing Business AsMozaic Adult Day Program

Other Identifiers 1

Other008044725CT · Chcpe

Other Providers at the Same Location NPPES 20

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

HALEY SCHAEFER DPT
Physical Therapist
4200 PARK AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 365-6443
LORI MIHALOV PT
Physical Therapist
4200 PARK AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 365-6443
JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INCORPORATED
Skilled Nursing Facility
4200 PARK AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 365-6400
BRENNA JANJIGIAN DPT
Physical Therapist
4200 PARK AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 365-6400
STACEY COOLEY BARDIN RN
Registered Nurse (Gerontology)
4200 PARK AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 364-8253
CARLA DA SILVA LPTA
Physical Therapy Assistant
4200 PARK AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 365-6443
KAYLA ABREU
Occupational Therapist
4200 PARK AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 365-6443
LEAH SUTO
Physical Therapist (Geriatrics)
4200 PARK AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 365-6443

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 The Jewish Home For The Elderly Of Fairfield County Inc's NPI number?

The NPI number for The Jewish Home For The Elderly Of Fairfield County Inc is 1619189941. It was assigned to this organization in the NPPES registry on May 7, 2007. The provider is doing business as Mozaic Adult Family Living and Mozaic Adult Day Program.

Where is The Jewish Home For The Elderly Of Fairfield County Inc located?

The Jewish Home For The Elderly Of Fairfield County Inc is located at 4200 Park Ave, Bridgeport, CT 06604. The listed phone number is (203) 365-6455.

What is The Jewish Home For The Elderly Of Fairfield County Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for The Jewish Home For The Elderly Of Fairfield County Inc was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.