Watermark 3030 Park LLC
NPI 1275704462ActiveOrganization· Skilled Nursing Facility· Bridgeport, CT
Skilled Nursing Facility in Bridgeport, Connecticut, registered in NPPES in March 2008. The authorized official on file is David Freshwater, Authorized Agent.
Overview
| NPI | 1275704462 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 17, 2008 |
| Last updated in NPPES | Jun 2, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 2347 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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