BROOKDALE HOSPICE, LLC (NPI# 1629466875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629466875 |
| Entity Type | Organization |
| Organization Name | BROOKDALE HOSPICE, LLC |
| Other Organization Name | BROOKDALE HOSPICE |
| Practice Address |
701 Kimberly Ste 120 Placentia CA 92870-6345 |
| Mailing Address |
111 Westwood Pl Brentwood TN 37027-5021 |
| Practice Telephone | 7143646500 |
| Mailing Telephone | 6155648034 |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2020-05-14 |
| Authorized Official Name | DONNIS M. EVANS (MANAGER, REGULATORY PRACTICES) |
| Authorized Official Telephone | 6155648181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Brookdale Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538715370 | Brookdale Hospice, LLC | Hospice Care, Community Based | 555 University Ave Ste 230, Sacramento, CA 95825-6505 | 2019-08-16 |
| 1033687371 | Brookdale Hospice, LLC | Hospice Care, Community Based | 29757 Sw Boones Ferry Rd Ste B, Wilsonville, OR 97070-7202 | 2018-11-05 |
| 1801364138 | Brookdale Hospice, LLC | Hospice Care, Community Based | 32300 Northwestern Hwy Ste 125, Farmington Hills, MI 48334-1501 | 2018-11-05 |
| 1730615063 | Brookdale Hospice, LLC | Hospice Care, Community Based | 3701 Algonquin Rd Ste 100, Rolling Meadows, IL 60008-3115 | 2017-05-05 |
| 1093102105 | Brookdale Hospice, LLC | Hospice Care, Community Based | 9100 Purdue Rd Ste 100, Indianapolis, IN 46268-1190 | 2015-04-16 |
| 1366873309 | Brookdale Hospice, LLC | Hospice Care, Community Based | 123 Indiana Ave, Ste C, Salina, KS 67401-3213 | 2013-12-02 |
| 1548518608 | Brookdale Hospice, LLC | Hospice Care, Community Based | 15425 North Fwy Ste 160, Houston, TX 77090 | 2012-08-21 |
| 1366938060 | Brookdale Hospice, LLC | Hospice Care, Community Based | 5674 Stoneridge Dr Ste 206, Pleasanton, CA 94588-8532 | 2018-07-05 |
| 1407274723 | Brookdale Hospice, LLC | Hospice Care, Community Based | 25 Woods Lake Rd, Ste 405, Greenville, SC 29607-6125 | 2014-04-03 |
| 1316365638 | Brookdale Hospice, LLC | Hospice Care, Community Based | 810 Dutch Square Blvd, Ste 231, Columbia, SC 29210-7318 | 2014-04-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BROOKDALE HOSPICE, LLC | 111 Westwood Pl Ste 400, Brentwood, TN 37027 |
| Street Address |
701 KIMBERLY STE 120 |
| City | PLACENTIA |
| State | CA |
| Zip Code | 92870-6345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952887499 | Makaela Mendelson | Speech-Language Pathologist | 240 South Placentia Avenue, Placentia, CA 92870 | 2018-07-18 |
| 1194186106 | Carrie Schultz | Licensed Vocational Nurse | 543 Del Rey Dr., Placentia, CA 92870 | 2016-03-18 |
| 1710350277 | Caremore Health Plan | Nurse Practitioner | 1325 N. Rose Drive #102, Placentia Linda, CA 92870 | 2015-11-05 |
| 1871999847 | Heather Ellen Johnson | Occupational Therapist | 740 S. Placentia Ave, Suite 100, Placentia, CA 92870 | 2014-11-18 |
| 1992101257 | Arcel Lopez Escoto | Physical Therapist | 740 S. Placentia Ave. Suite 100, Placentia, CA 92870 | 2014-11-14 |
| 1144642109 | Christine Taheran | Nurse Practitioner | 120 Downey Lane, Placentia, CA 92870 | 2014-01-10 |
| 1851644587 | Peter Glickman | Ophthalmology | 1050 E Yorba Linda Blvd., Suite 205, Placentia, CA 92870 | 2012-10-18 |
| 1396003844 | Jaymie Coria, D.d.s., Inc | Dentist | 302 E. Palm Drive, Suite #a, Placentia, CA 92870 | 2012-05-02 |
| 1164798609 | Adelina Rachi | Occupational Therapist | 740 S. Placentia Ave., Suite 100, Placentia, CA 92870 | 2012-03-29 |
| 1023305067 | Patricia Inez Byrne | Registered Nurse | 2001-d E. Orangethorpe Ave., Placentia, CA 92870 | 2011-06-28 |
| Find all providers in zip 92870 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956817 | Valley Pacific Hospice, Inc. | Hospice Care, Community Based | 1050 E Yorba Linda Blvd Ste 206, Placentia, CA 92870-3758 | 2020-09-11 |
| 1568004737 | Byung H Yoo | Hospice Care, Community Based | 601 E Yorba Linda Blvd Ste 1e, Placentia, CA 92870-3006 | 2019-10-09 |
| 1548884463 | Hope Care Hospice, Inc | Hospice Care, Community Based | 601 E Yorba Linda Blvd Ste 1e, Placentia, CA 92870-3006 | 2020-06-05 |
| 1104239300 | Queen of Angels Hospice, Inc. | Hospice Care, Community Based | 601 E Yorba Linda Blvd, Suite 2e, Placentia, CA 92870 | 2014-06-04 |
| 1366782484 | 247 Hospice - Orange County, Inc. | Hospice Care, Community Based | 1075 Yorba Pl, Ste 101, Placentia, CA 92870-3152 | 2013-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
| 1528669207 | La Vida Care Hospice Inc | Hospice Care, Community Based | 6309 Van Nuys Blvd Ste 106, Van Nuys, CA 91401-6613 | 2020-11-08 |
| 1588265276 | Santa Rita Hospice Inc | Hospice Care, Community Based | 7311 Van Nuys Blvd Unit 22, Van Nuys, CA 91405-1999 | 2020-11-08 |
| 1477154169 | Prime Plus Hospice Inc | Hospice Care, Community Based | 7311 Van Nuys Blvd Unit 23, Van Nuys, CA 91405-1999 | 2020-11-08 |
| 1275134967 | Valley Hospice Care Inc | Hospice Care, Community Based | 7311 Van Nuys Blvd Unit 24, Van Nuys, CA 91405-1999 | 2020-11-08 |
| 1063013720 | Blessed Journey Hospice, LLC. | Hospice Care, Community Based | 9778 Katella Ave Ste 111, Anaheim, CA 92804-6446 | 2020-11-07 |
| 1093316739 | S and N Hospice | Hospice Care, Community Based | 2500 E Foothill Blvd Ste 512, Pasadena, CA 91107-7126 | 2020-11-07 |
| 1033710819 | Treasure Care Hospice,inc. | Hospice Care, Community Based | 4250 Pennyslvania Ave, Suite 203, La Crescenta, CA 91214 | 2020-11-06 |
| 1689275430 | Pro-choice Hospice, Inc. | Hospice Care, Community Based | 19634 Ventura Blvd Ste 302, Tarzana, CA 91356-2966 | 2020-11-06 |
| 1689275588 | Integrated Hospice Care Inc | Hospice Care, Community Based | 6354 Van Nuys Blvd Ste 102, Van Nuys, CA 91401-2601 | 2020-11-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.