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Senior Bridge LLC

Home Health Agency in West Allis, WI · enumerated 2020 · authorized official Kentocc Coburn, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104412295

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Registry record

Entity type Organization (Type 2)
Legal business name Senior Bridge LLC
Practice address 11204 W Greenfield Ave, West Allis, WI, 53214
Fax (414) 988-2660
Enumeration date Dec 14, 2020
Last updated in NPPES Dec 14, 2020

Taxonomy & classification

251E00000X Home Health Agency Agencies Primary

Authorized official

Name Kentocc Coburn
Title Owner

Other identifiers

Identifier Type State Issuer
100091399 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Senior Bridge LLC?
Senior Bridge LLC is registered in NPPES as a Home Health Agency (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-12-14.