BRIDGEWATER PARK LLC (NPI# 1225577505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225577505 |
| Entity Type | Organization |
| Organization Name | BRIDGEWATER PARK LLC |
| Other Organization Name | BRIDGEWATER PARK HEALTH & REHABILITATION CENTER |
| Practice Address |
9280 Sw 81st Ct Ocala FL 34481 |
| Mailing Address |
1800 N Wabash Rd Marion IN 46952-1300 |
| Practice Telephone | 3525095201 |
| Practice Fax Number | 3528614255 |
| Mailing Telephone | 7656645400 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2018-05-01 |
| Authorized Official Name | MR. CULLEN S GIBSON (VICE PRESIDENT) |
| Authorized Official Telephone | 7656645400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0229220-00 | 05 |
| Other Name | Type Code |
|---|---|
| BRIDGEWATER PARK HEALTH & REHABILITATION CENTER | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | BRIDGEWATER PARK LLC | 1800 N Wabash Rd, Marion, IN 46952 |
| Street Address |
9280 SW 81ST CT |
| City | OCALA |
| State | FL |
| Zip Code | 34481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073077343 | Lisa Marlene Thompson-goertz | Occupational Therapist | 9280 Sw 81st Ct, Ocala, FL 34481-7848 | 2019-01-30 |
| 1902314248 | Stacy Ray Eubanks | Occupational Therapist | 9280 Sw 81st Ct, Ocala, FL 34481 | 2018-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244190 | World Dental Associates Pa | Dentist | 8810 Sw State Rd 200, Suite 101, Ocala, FL 34481 | 2020-01-15 |
| 1609438019 | Quick Care Med LLC | Non-Pharmacy Dispensing Site | 8119 S State Road 200, Ocala, FL 34481 | 2019-07-05 |
| 1053875583 | Hugo Enrrique Chacin Jr. | Driver | 4098sw 114th Ct, Ocala, FL 34481 | 2019-01-29 |
| 1154803799 | Paige A Reid | Specialist/Technologist | 1160 Sw 140th Ave, Ocala, FL 34481 | 2018-08-30 |
| 1790262962 | Select Laboratories-marion County | Clinical Medical Laboratory | 11115 Sw 93rd Court Rd Unit 100, Ocala, FL 34481 | 2018-07-20 |
| 1114439270 | Audiology Services Company Usa, LLC | Clinic/Center | 8532 Southwest State Road 200, Ocala, FL 34481 | 2017-10-30 |
| 1518477686 | Tkv Dental | Dentist | 9401 Sw Sr 200, Suite 101, Ocala, FL 34481 | 2017-10-03 |
| 1467982363 | Susana Hernandez | Dentist | 8585 Sw State Rd 200, #3, Ocala, FL 34481 | 2017-06-14 |
| 1790223139 | Ocala Eye Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 8520 Sw Sr 200, Ocala, FL 34481 | 2017-02-06 |
| 1083160212 | Caterina Ciccone | Nurse Practitioner | 8150 Sw Sr 200, Unit 400, Ocala, FL 34481 | 2016-08-28 |
| Find all providers in zip 34481 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801152137 | Marion House Rehabilitation Center, LLC | Skilled Nursing Facility | 3930 E Silver Springs Blvd, Ocala, FL 34470-5086 | 2012-04-11 |
| 1982750444 | Ocala Geriatric Services Inc | Skilled Nursing Facility | 1300 Sw 42nd St, Ocala, FL 34471-1366 | 2007-01-26 |
| 1417973389 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 2800 Sw 41st St, Ocala, FL 34474-4454 | 2006-07-14 |
| 1225083207 | Northport Health Services of Florida, LLC | Skilled Nursing Facility | 1201 Se 24th Rd, Ocala, FL 34471-6009 | 2006-05-24 |
| 1487656435 | Oakwood Nursing Center Inc | Skilled Nursing Facility | 2021 Sw 1st Ave, Ocala, FL 34474-5161 | 2005-08-10 |
| 1811993025 | Sa-pg-ocala LLC | Skilled Nursing Facility | 2700 Sw 34th St, Ocala, FL 34474-4470 | 2005-06-22 |
| 1720081011 | Florida Living Options Inc. | Skilled Nursing Facility | 4100 Sw 33rd Ave, Ocala, FL 34474-4466 | 2005-05-31 |
| 1740283563 | Ocala Healthcare Associates, LLP | Skilled Nursing Facility | 9848 Sw 110th St, Ocala, FL 34481-7651 | 2005-05-24 |
| 1164084299 | Timberridge Operations LLC | Skilled Nursing Facility | 9848 Sw 110th St, Ocala, FL 34481-7651 | 2019-06-28 |
| 1841788171 | Victory Facility LLC | Skilled Nursing Facility | 4100 Sw 33rd Ave, Ocala, FL 34474-4466 | 2018-04-23 |
| Find all providers in OCALA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.