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JEWISH SENIOR SERVICES
NPI 1730309857
Custodial Care Facility - Adult Care Home in Bridgeport, CT

Active since April 30, 2007
4200 PARK AVE, BRIDGEPORT, CT 06604(203) 365-6455(203) 396-1108 Get Directions Write a Review

NPPES record last updated: February 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jewish Senior Services NPPES

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

JEWISH SENIOR SERVICES (NPI 1730309857) is a healthcare organization registered as an adult care home in Bridgeport, Connecticut and active in the NPI registry since April 2007. The organization lists Evangelyn Peterson, Controller, as its authorized official.

NPPES Registry Identity

NPI1730309857
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameJEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INCORPORATED
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 DateApril 30, 2007
Last NPPES UpdateFebruary 19, 2019
✔ NPI 1730309857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in CT · 3032
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
4200 PARK AVE, Bridgeport, CT 06604
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Other Names 1

Doing Business AsJewish Senior Services

Other Identifiers 1

Other3032CT · Employer Fee Paid Agency

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

The NPI number for Jewish Home For The Elderly Of Fairfield County Incorporated is 1730309857. It was assigned to this organization in the NPPES registry on April 30, 2007. The provider is doing business as Jewish Senior Services.

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

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

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

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Jewish Home For The Elderly Of Fairfield County Incorporated was last updated on February 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.