SL GLENBROOKE LLC NPI 1144563222

NPI Information

  • NPI: 1144563222
  • Provider Name: SL GLENBROOKE LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: GLENBROOKE AT PALM BAY
  • CLIA Number: 10D2006326
  • Address: 815 BRIAR CREEK BLVD NE
    PALM BAY, FL
    ZIP 32905
  • Phone: (321) 956-3330

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NPI Details

SL GLENBROOKE LLC is an assisted living facility in Palm Bay, 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. SL GLENBROOKE LLC NPI is 1144563222. The provider is registered as an organization entity type.
The provider Is Doing Business As Glenbrooke At Palm Bay.

The provider's business location address is:

815 BRIAR CREEK BLVD NE
PALM BAY, FL
ZIP 32905-423
Phone: (321) 956-3330
Fax: (321) 956-3998

The provider's authorized official is Charlotte Willis .
The authorized official title is Executive Director and has the following contact phone number (321) 956-3330.

The CLIA number assigned to this NPI record is 10D2006326 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2013 and was last updated on 3/27/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityAL11650FLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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