CT Watermark 3030, LLC
NPI 1720439391ActiveOrganization· Skilled Nursing Facility· Bridgeport, CT
Skilled Nursing Facility in Bridgeport, Connecticut, registered in NPPES in June 2016. The authorized official on file is Greta Frazier, Director. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1720439391 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 24, 2016 |
| Last updated in NPPES | Jun 24, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 2430 | 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) | Enrolled Part A Provider - Skilled Nursing Facility (CT) |
|---|
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