OrganizationActive
Pmg Opco-Bridgeport LLC
NPI 1114469046 · Assisted Living Facility · Bridgeport, TX
Provider details
- NPI number
- 1114469046
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Douglas Boulware, Managing Member(318) 658-9977
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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.
Practice location
2106 15th St
Bridgeport, TX 76426-2073
Phone: (940) 683-6307
Fax: (940) 683-5307
Street-level locationGet directions
Mailing address
2106 15th St
Bridgeport, TX 76426-2073
Other names (DBA / former)
- Doing business as
- The Residences at Senior Care
Registry dates
- Enumerated
- 2016-11-09
- Last updated
- 2016-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.