NPI 1083602346

Jewish Home for the Elderly of Fairfield County Incorporated

Organisation Skilled Nursing Facility Bridgeport, CT

Practice location

Address: 4200 Park Ave, Bridgeport, CT 06604-1049
Phone: (203) 365-6400
Fax: (203) 396-1108

Authorised official

Name: Andrew H. Banoff
Title: President/ Ceo
Phone: (203) 365-6400

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 923-C (CT)

Other Skilled Nursing Facility providers in Connecticut →

Registry record

NPI: 1083602346
Entity type: Organization
NPI issued: 11 Oct 2005
Record last updated: 19 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.