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BREA SARASOTA LLC NPI 1013041409


NPI Information

NPI: 1013041409
Provider Name: BREA SARASOTA, LLC

Doing Business As: BROOKDALE PHILLIPPI CREEK

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D0995508

Address:
5501 SWIFT RD
SARASOTA, FL
ZIP 34231
Phone: (941) 922-8778
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BREA SARASOTA, LLC is an assisted living facility in Sarasota, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BREA SARASOTA, LLC NPI is 1013041409. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Phillippi Creek.

The provider's business location address is:

5501 SWIFT RD
SARASOTA, FL
ZIP 34231-209
Phone: (941) 922-8778
Fax: (941) 921-0264

The provider's authorized official is Bryan Richardson .
The authorized official title is Evp, Chief Admin. Officer and has the following contact phone number (615) 564-8131.

The CLIA number assigned to this NPI record is 10D0995508 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 5/13/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311500000XAlzheimer Center (Dementia Center)AL7102FLORIDANo
2310400000XAssisted Living FacilityAL7102FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10103582-00MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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