BROOKHAVEN ASSISTED LIVING LLC NPI 1215602792

NPI Information

NPI: 1215602792
Provider Name: BROOKHAVEN ASSISTED LIVING, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
15358 W POST CIR
SURPRISE, AZ
ZIP 85374
Phone: (408) 393-2002
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BROOKHAVEN ASSISTED LIVING, LLC is an assisted living facility in Surprise, AZ. 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. BROOKHAVEN ASSISTED LIVING, LLC NPI is 1215602792. The provider is registered as an organization entity type.

The provider's business location address is:

15358 W POST CIR
SURPRISE, AZ
ZIP 85374-422
Phone: (408) 393-2002

The provider's authorized official is Cole Bradley Skelton .
The authorized official title is Owner and has the following contact phone number (408) 393-2002.

The enumeration date for this NPI number is 8/16/2021 and was last updated on 8/16/2021.

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
1	310400000X	Assisted Living Facility				Yes

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: 5/5/2024

NPI Synchronization or Removal

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