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BROWN ROAD SENIOR HOUSING LLC NPI 1336282912


NPI Information

NPI: 1336282912
Provider Name: BROWN ROAD SENIOR HOUSING, LLC

Doing Business As: GRAND COURT MESA

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

CLIA Number: 03D2194606

Address:
262 E BROWN RD
MESA, AZ
ZIP 85201
Phone: (480) 844-7336
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BROWN ROAD SENIOR HOUSING, LLC is an assisted living facility in Mesa, 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. BROWN ROAD SENIOR HOUSING, LLC NPI is 1336282912. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Court Mesa.

The provider's business location address is:

262 E BROWN RD
MESA, AZ
ZIP 85201-545
Phone: (480) 844-7336
Fax: (480) 844-7045

The provider's authorized official is Lee Johnson .
The authorized official title is Treasurer and has the following contact phone number (208) 401-1369.

The CLIA number assigned to this NPI record is 03D2194606 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 2/13/2020.


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
1310400000XAssisted Living FacilityALC-4140ARIZONAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.