BRIDGEWATER AVONDALE OPERATIONS, LLC – NPI #1932663994
Assisted Living Facility

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.

BRIDGEWATER AVONDALE OPERATIONS, LLC is an assisted living facility located in AVONDALE, AZ. NPPES has assigned the NPI number 1932663994 to BRIDGEWATER AVONDALE OPERATIONS, LLC on January 24, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIDGEWATER AVONDALE OPERATIONS, LLC below.

NPI Profile for
BRIDGEWATER AVONDALE OPERATIONS, LLC

NPI Number
1932663994
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRIDGEWATER AVONDALE OPERATIONS, LLC
Primary location
295 E VAN BUREN STREET
AVONDALE, AZ 85323
Phone: (602) 603-8200 Fax: (602) 533-7574
Mailing address
14650 N 78TH WAY, BLDG B
SCOTTSDALE, AZ 85260
Phone: (602) 544-3195 Fax: (602) 533-7574
Organization Subpart
No
Authorized Official
INGE DURAN
VP OF FINANCE
Phone: (602) 544-3195
Updated
Identifiers

Identifiers for BRIDGEWATER AVONDALE OPERATIONS, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDEPT OF HEALTH SERVICESAZAL10996C
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
310400000X
- Assisted Living Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.