What type of organization is Jewish Home for the Elderly of Fairfield County Incorporated?

Jewish Home for the Elderly of Fairfield County Incorporated is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).

Who is the authorized official for Jewish Home for the Elderly of Fairfield County Incorporated?

The authorized official listed on Jewish Home for the Elderly of Fairfield County Incorporated's NPPES record is Andrew Banoff, President/ Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

OrganizationActiveAccepts Medicare

Jewish Home for the Elderly of Fairfield County Incorporated

NPI 1083602346 · Skilled Nursing Facility · Bridgeport, CT

Jewish Home for the Elderly of Fairfield County Incorporated is a Skilled Nursing Facility organization in Bridgeport, CT (NPI 1083602346).

Provider details

NPI number: 1083602346
Entity type: Organization
Primary specialty: Skilled Nursing FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Andrew Banoff, President/ Ceo(203) 365-6400
License: 923-C (CT)

Practice location

4200 Park Ave

Bridgeport, CT 06604-1049

Phone: (203) 365-6400

Fax: (203) 396-1108

Street-level locationGet directions

More CT providers

Mailing address

4200 Park Ave

Bridgeport, CT 06604-1049

Specialties & taxonomies

Skilled Nursing FacilityPrimary314000000XLicense 923-C (CT)
Nursing & Custodial Care Facilities

Other names (DBA / former)

Doing business as: Mozaic Senior Life

Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
21 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2005-10-11
Last updated: 2025-05-19
Certified: 2025-05-19

Frequently asked questions

What is Jewish Home for the Elderly of Fairfield County Incorporated's NPI number?: Jewish Home for the Elderly of Fairfield County Incorporated's National Provider Identifier (NPI) is 1083602346, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Jewish Home for the Elderly of Fairfield County Incorporated?: Jewish Home for the Elderly of Fairfield County Incorporated is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
Where is Jewish Home for the Elderly of Fairfield County Incorporated located?: Jewish Home for the Elderly of Fairfield County Incorporated's practice location on file with NPPES is 4200 Park Ave, Bridgeport, CT 06604-1049.
What is Jewish Home for the Elderly of Fairfield County Incorporated's phone number?: The practice phone number listed in the NPPES registry for Jewish Home for the Elderly of Fairfield County Incorporated is (203) 365-6400.
Does Jewish Home for the Elderly of Fairfield County Incorporated accept Medicare?: Jewish Home for the Elderly of Fairfield County Incorporated is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Who is the authorized official for Jewish Home for the Elderly of Fairfield County Incorporated?: The authorized official listed on Jewish Home for the Elderly of Fairfield County Incorporated's NPPES record is Andrew Banoff, President/ Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Jewish Home for the Elderly of Fairfield County Incorporated's NPI active?: Yes — Jewish Home for the Elderly of Fairfield County Incorporated's NPI (1083602346) is active in the NPPES registry as of the last update on 2025-05-19.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions