Organization
BRIDGEPORT HOMEHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGNACIO GREGORIO LEVISTE (CFO)
(818) 653-1171
Entity
Organization
Contact information
Practice address
27936 LOST CANYON RD STE 205, SANTA CLARITA, CA 91387-3219
(661) 309-4858
(661) 554-8842
Mailing address
27936 LOST CANYON RD STE 205, SANTA CLARITA, CA 91387-3219
(818) 653-1171
(661) 554-8842
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
03/19/2026
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