MOZAIC ADULT FAMILY LIVING
NPI 1619189941
Clinic/Center - Adult Day Care in Bridgeport, CT
NPI Status: Active since May 07, 2007
Contact Information
4200 PARK AVE
BRIDGEPORT, CT
ZIP 06604
Phone: (203) 365-6455
Fax: (203) 396-1108
- Organization
- Clinic/Center
- Adult Day Care
About MOZAIC ADULT FAMILY LIVING
This page provides the complete NPI Profile along with additional information for Mozaic Adult Family Living, a provider established in Bridgeport, Connecticut operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1619189941 assigned on May 2007. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Mozaic Adult Family Living. The authorized official of this NPI record is Evangelyn Peterson (Controller)
- NPI
- 1619189941
- Provider Legal Name
- THE JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INC
- Other Organization Name
- MOZAIC ADULT FAMILY LIVING
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4200 PARK AVE BRIDGEPORT, CT 06604
- Location Phone
- (203) 365-6455
- Location Fax
- (203) 396-1108
- Mailing Address
- 4200 PARK AVE BRIDGEPORT, CT 06604
- Mailing Phone
- (203) 365-6455
- Mailing Fax
- (203) 396-1108
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-07-2007
- Last Update Date
- 08-14-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adult Day Care
- Taxonomy Code
- 261QA0600X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 008044725 | OTHER (01) | CT | CHCPE |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 1 | 9 | 1 | 8 | 9 | 9 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 2 | 8 | 18 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 2 + 8 + 1 + 8 + 9 + 8 + 24 = 79 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 79 = 1 | 1 | ||||||||
The NPI number 1619189941 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1952617656 | JACLYN W BELLABY CCC-SLP Individual | Speech-Language Pathologist | 4200 PARK AVE JEWISH HOME FOR THE ELDERLY BRIDGEPORT, CT 06604 (203) 365-6400 |
| 1932295953 | GERIATRIC PROFESSIONAL GROUP, LLC Organization | Internal Medicine | 4200 PARK AVE BRIDGEPORT, CT 06604 (203) 365-6473 |
| 1205324266 | MARY LOUISE EVANS Individual | Physical Therapist (Geriatrics) | 4200 PARK AVE BRIDGEPORT, CT 06604 (203) 365-6443 |
| 1851877518 | MISS BONNIE MULLALLY Individual | Physical Therapist | 4200 PARK AVE BRIDGEPORT, CT 06604 (203) 365-6400 |
| 1508337866 | AMBER BJERKE PTA Individual | Physical Therapy Assistant | 4200 PARK AVE BRIDGEPORT, CT 06604 (203) 365-6443 |
| 1730309857 | JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INCORPORATED Organization | Custodial Care Facility (Adult Care Home) | 4200 PARK AVE BRIDGEPORT, CT 06604 (203) 365-6455 |
| 1194385682 | DIEGO ERNESTO AGUILLON P.T.A. Individual | Physical Therapy Assistant | 4200 PARK AVE BRIDGEPORT, CT 06604 (203) 365-6443 |
| 1053959965 | LORI MIHALOV PT Individual | Physical Therapist | 4200 PARK AVE BRIDGEPORT, CT 06604 (203) 365-6443 |
| 1760012090 | PAMELA SIMPSON Individual | Licensed Practical Nurse | 4200 PARK AVE BRIDGEPORT, CT 06604 (203) 365-6400 |
| 1629445135 | HEATHER CODY Individual | Physical Therapist (Geriatrics) | 4200 PARK AVE BRIDGEPORT, CT 06604 (203) 396-1136 |
| 1730633116 | JACLYN DIAS PT, DPT, GCS Individual | Physical Therapist | 4200 PARK AVE BRIDGEPORT, CT 06604 (203) 365-6443 |
| 1366911588 | MADISON P ALTERMATT OTR/L Individual | Occupational Therapist | 4200 PARK AVE BRIDGEPORT, CT 06604 (203) 365-6443 |
| 1134882251 | STACEY COOLEY BARDIN RN Individual | Registered Nurse (Gerontology) | 4200 PARK AVE BRIDGEPORT, CT 06604 (203) 364-8253 |
| 1205599313 | MICHELLE BOCCANFUSO RN Individual | Registered Nurse | 4200 PARK AVE BRIDGEPORT, CT 06604 (203) 365-6400 |
| 1255094215 | CAROL ANN WALSH RN Individual | Registered Nurse | 4200 PARK AVE BRIDGEPORT, CT 06604 (203) 364-6496 |
| 1437812401 | NANCY MELISO RN Individual | Registered Nurse | 4200 PARK AVE BRIDGEPORT, CT 06604 (203) 371-1409 |
| 1700548054 | JENNIFER QUBICK Individual | Physical Medicine & Rehabilitation | 4200 PARK AVE BRIDGEPORT, CT 06604 (203) 365-6443 |
| 1700549771 | JUSTINE LABATE Individual | Registered Nurse | 4200 PARK AVE BRIDGEPORT, CT 06604 (203) 396-1105 |
| 1295161198 | ALESHA J MCGIVNEY Individual | Occupational Therapist | 4200 PARK AVE BRIDGEPORT, CT 06604 (203) 365-6443 |
| 1770202822 | NATALIE COLON RN Individual | Registered Nurse (Infection Control) | 4200 PARK AVE BRIDGEPORT, CT 06604 (203) 365-6400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619189941, enumerated in the NPI registry as an "organization" on May 07, 2007
The provider is located at 4200 Park Ave Bridgeport, Ct 06604 and the phone number is (203) 365-6455
This medical organization specializes in Clinic/Center with taxonomy code 261QA0600X with a focus in Adult Day Care
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 07, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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