Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Haven of Bridgeport, LLC

Organization Skilled Nursing Facility · NPI 1992524060

Haven of Bridgeport, LLC is a Skilled Nursing Facility in Bridgeport, Illinois. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 Corporation St
Bridgeport, IL 62417-2206
Phone: (618) 945-2091
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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

Record details

NPI number1992524060
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Levi Israel — Ceo · (847) 905-3000
NPI enumeratedOctober 7, 2024
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025
Mailing address2201 Main St, Evanston, IL 60202-1519

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