Organization · Type 2 NPI

Haven of Bridgeport, LLC

Skilled Nursing Facility · Bridgeport, IL

NPI number 1992524060 Active

Practice location

900 Corporation St
Bridgeport, IL 62417-2206

Mailing address

2201 Main St
Evanston, IL 60202-1519

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

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 r…

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About NPI 1992524060

Haven of Bridgeport, LLC's National Provider Identifier is 1992524060, issued on Oct 7, 2024. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Bridgeport, IL. The record was last updated on Mar 7, 2025.