HAVEN OF BRIDGEPORT, LLC
NPI 1992524060
Skilled Nursing Facility in Bridgeport, IL
About Haven Of Bridgeport, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAVEN OF BRIDGEPORT, LLC (NPI 1992524060) is a healthcare organization registered as a skilled nursing facility in Bridgeport, Illinois and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through March 4, 2028 and lists Levi Israel, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 14D2339706
Haven Of Bridgeport · Bridgeport, ILOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRIDGEPORT, IL 62417
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 Haven Of Bridgeport, LLC's NPI number?
The NPI number for Haven Of Bridgeport, LLC is 1992524060. It was assigned to this organization in the NPPES registry on October 7, 2024.
Where is Haven Of Bridgeport, LLC located?
Haven Of Bridgeport, LLC is located at 900 Corporation St, Bridgeport, IL 62417. The listed phone number is (618) 945-2091.
What is Haven Of Bridgeport, LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Haven Of Bridgeport, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2339706) is associated with this NPI, valid through March 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 Haven Of Bridgeport, LLC was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.