Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jewish Home for the Elderly of Fairfield County Incorporated

Organization Skilled Nursing Facility · NPI 1083602346

Jewish Home for the Elderly of Fairfield County Incorporated is a Skilled Nursing Facility in Bridgeport, Connecticut. Licensed in Connecticut. Registered with an NPI since 2005.

Licensed in
CT
In the registry since
2005
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Practice location Address checks out

4200 Park Ave
Bridgeport, CT 06604-1049
Phone: (203) 365-6400
Fax: (203) 396-1108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 923-C (CT)

Record details

NPI number1083602346
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Banoff — President/ Ceo · (203) 365-6400
Other names Mozaic Senior Life
NPI enumeratedOctober 11, 2005
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025
Mailing address4200 Park Ave, Bridgeport, CT 06604-1049

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility. 24 of 40 are shown here.

Other providers in Bridgeport