What is Bridgeport Center LLC's NPI number?

Bridgeport Center LLC's National Provider Identifier (NPI) is 1710421896, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Bridgeport Center LLC?

Bridgeport Center LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).

Where is Bridgeport Center LLC located?

Bridgeport Center LLC's practice location on file with NPPES is 41 Crestview Ter, Bridgeport, WV 26330-1010.

What is Bridgeport Center LLC's phone number?

The practice phone number listed in the NPPES registry for Bridgeport Center LLC is (304) 842-7101.

Who is the authorized official for Bridgeport Center LLC?

The authorized official listed on Bridgeport Center LLC's NPPES record is Lawrence Pack, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Bridgeport Center LLC's NPI active?

Yes — Bridgeport Center LLC's NPI (1710421896) is active in the NPPES registry as of the last update on 2022-05-18.

OrganizationActive

Bridgeport Center LLC

NPI 1710421896 · Skilled Nursing Facility · Bridgeport, WV

Bridgeport Center LLC is a Skilled Nursing Facility organization in Bridgeport, WV (NPI 1710421896).

Provider details

NPI number: 1710421896
Entity type: Organization
Primary specialty: Skilled Nursing FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Lawrence Pack, Manager(304) 343-1950

Practice location

41 Crestview Ter

Bridgeport, WV 26330-1010

Phone: (304) 842-7101

Fax: (304) 842-7104

Street-level locationGet directions

More WV providers

Mailing address

700 Chappell Rd

Charleston, WV 25304-2704

Specialties & taxonomies

Skilled Nursing FacilityPrimary314000000X
Nursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility313M00000X
Nursing & Custodial Care Facilities

Other names (DBA / former)

Doing business as: Stonerise Bridgeport

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.

Enumerated: 2016-12-08
Last updated: 2022-05-18
Certified: 2022-05-18

Frequently asked questions

What is Bridgeport Center LLC's NPI number?: Bridgeport Center LLC's National Provider Identifier (NPI) is 1710421896, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Bridgeport Center LLC?: Bridgeport Center LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
Where is Bridgeport Center LLC located?: Bridgeport Center LLC's practice location on file with NPPES is 41 Crestview Ter, Bridgeport, WV 26330-1010.
What is Bridgeport Center LLC's phone number?: The practice phone number listed in the NPPES registry for Bridgeport Center LLC is (304) 842-7101.
Who is the authorized official for Bridgeport Center LLC?: The authorized official listed on Bridgeport Center LLC's NPPES record is Lawrence Pack, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Bridgeport Center LLC's NPI active?: Yes — Bridgeport Center LLC's NPI (1710421896) is active in the NPPES registry as of the last update on 2022-05-18.

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