# BAY ROC HEALTH CARE PROVIDERS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Bridgeport Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063734242
- **Authorized official:** MRS. DENISE ANN CAVINESS (MANAGING MEMBER)
- **Authorized official phone:** (940) 683-5181

## Contact information

- **Practice address:** 102 W CATES ST, BRIDGEPORT, TX 76426-2709
- **Practice address phone:** (940) 683-5181
- **Practice address fax:** (940) 683-5183
- **Mailing address:** 102 W CATES ST, BRIDGEPORT, TX 76426-2709
- **Mailing address phone:** (940) 683-5181
- **Mailing address fax:** (940) 683-5183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 02/16/2010
- **Last updated:** 02/16/2010