Bridgeport Way W Healthcare LLC
NPI 1417630351 · Skilled Nursing Facility · University Place, WA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bridgeport Way W Healthcare LLC is a Skilled Nursing Facility organization in University Place, WA (NPI 1417630351).
Provider details
- NPI number
- 1417630351
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- William Miller, Ceo(253) 268-2410
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Other names (DBA / former)
- Doing business as
- Agility Health and Rehabilitation
Registry dates
- Enumerated
- 2023-08-08
- Last updated
- 2023-08-08
- Certified
- 2023-08-08
Frequently asked questions
- What is Bridgeport Way W Healthcare LLC's NPI number?
- Bridgeport Way W Healthcare LLC's National Provider Identifier (NPI) is 1417630351, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bridgeport Way W Healthcare LLC?
- Bridgeport Way W Healthcare LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Bridgeport Way W Healthcare LLC located?
- Bridgeport Way W Healthcare LLC's practice location on file with NPPES is 5520 Bridgeport Way W, University Place, WA 98467-2041.
- What is Bridgeport Way W Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Bridgeport Way W Healthcare LLC is (253) 566-7166.
- Does Bridgeport Way W Healthcare LLC accept Medicare?
- Bridgeport Way W Healthcare LLC 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 Bridgeport Way W Healthcare LLC?
- The authorized official listed on Bridgeport Way W Healthcare LLC's NPPES record is William Miller, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bridgeport Way W Healthcare LLC's NPI active?
- Yes — Bridgeport Way W Healthcare LLC's NPI (1417630351) is active in the NPPES registry as of the last update on 2023-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.