BRIDGE-DAVENPORT, LP
NPI 1871212324
Assisted Living Facility in Davenport, IA

Q: What is Bridge-Davenport, LP's NPI number?

The NPI number for Bridge-Davenport, LP is 1871212324. It was assigned to this organization in the NPPES registry on August 26, 2022. The provider is doing business as Country Manor Memory Care.

Q: What is Bridge-Davenport, LP's specialty?

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

Active since August 26, 2022

900 W 46TH ST, DAVENPORT, IA 52806(563) 391-1111 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bridge-davenport, Lp NPPES

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

BRIDGE-DAVENPORT, LP (NPI 1871212324), doing business as Country Manor Memory Care, is a healthcare organization registered as an assisted living facility in Davenport, Iowa and active in the NPI registry since August 2022. The organization lists Kareicia Mahieu, Director, as its authorized official.

NPPES Registry Identity

NPI1871212324

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBRIDGE-DAVENPORT, LP

Location Address900 W 46TH STDavenport, IA 52806-4362

Mailing Address900 W 46th StDavenport, IA 52806-4362 · (563) 391-1111

Phone(563) 391-1111

Organization SubpartNo

Authorized OfficialKareicia MahieuDirector · (563) 391-1111

Enumeration DateAugust 26, 2022

NPPES CertifiedAugust 26, 2022

✔ NPI 1871212324 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.

900 W 46TH ST, Davenport, IA 52806

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Other Names 1

Doing Business AsCountry Manor Memory Care

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 Bridge-Davenport, LP's NPI number?

The NPI number for Bridge-Davenport, LP is 1871212324. It was assigned to this organization in the NPPES registry on August 26, 2022. The provider is doing business as Country Manor Memory Care.

Where is Bridge-Davenport, LP located?

Bridge-Davenport, LP is located at 900 W 46th St, Davenport, IA 52806. The listed phone number is (563) 391-1111.

What is Bridge-Davenport, LP's specialty?

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

When was this NPI record last updated?

The NPPES record for Bridge-Davenport, LP was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.