BROOKDALE HOME HEALTH LLC (NPI# 1659555951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659555951 |
| Entity Type | Organization |
| Organization Name | BROOKDALE HOME HEALTH LLC |
| Other Organization Name | NURSE ON CALL |
| Practice Address |
1030 W Bay Dr Suite 101 Largo FL 33770-3225 |
| Mailing Address |
111 Westwood Pl Brentwood TN 37027-5021 |
| Practice Telephone | 7273917722 |
| Mailing Telephone | 6152212250 |
| Mailing Fax Number | 6152212280 |
| Enumeration Date | 2007-12-21 |
| 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 | 251E00000X | Home Health | 299992494 | FL | Agencies |
| Other Name | Type Code |
|---|---|
| Brookdale Home Health | Doing Business As Name - Organization |
| Nurse On Call | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649454943 | Brookdale Home Health LLC | Home Health | 120 E Pine St, Ste 5, Lakeland, FL 33801-4982 | 2007-12-21 |
| 1508915190 | Brookdale Home Health LLC | Home Health | 51 Nw Carolina St, Suite 104, West Melbourne, FL 32904-4107 | 2007-01-10 |
| 1194874776 | Brookdale Home Health LLC | Home Health | 100 3rd Ave W Ste 200, Bradenton, FL 34205-8638 | 2007-01-10 |
| Street Address |
1030 W BAY DR SUITE 101 |
| City | LARGO |
| State | FL |
| Zip Code | 33770-3225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851353239 | John L. Michaelos | Ophthalmology | 1030 W Bay Dr, Largo, FL 33770-3225 | 2006-04-03 |
| 1003475138 | Victoria Huynh | Optometrist | 1030 W Bay Dr, Largo, FL 33770-3276 | 2019-06-12 |
| 1902860455 | Louis John Michaelos | Ophthalmology | 1030 W Bay Dr, Largo, FL 33770-3225 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467005041 | Chelsey Lyn Shepos | Optometrist | 1030 West Bay Dr, Suite 200, Largo, FL 33770 | 2019-07-22 |
| 1407353626 | Michael E Ibrahim | Pharmacist | 1290 West Bay Drive, Largo, FL 33770 | 2018-04-13 |
| 1518413384 | Payton Kuhlenbeck | Anesthesiology | 210 14th Street Sw, Largo, FL 33770 | 2016-08-31 |
| 1639536865 | Ryan Boice | Physical Therapy Assistant | 118 West Bay Drive, Suite 111, Largo, FL 33770 | 2016-01-19 |
| 1508238858 | Alignment Healthcare Florida LLC | Clinic/Center | 1301 2nd Ave., Sw, Largo, FL 33770 | 2015-10-27 |
| 1891161808 | Jessica Nicole Mcglone | Nurse Practitioner | 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 | 2015-08-12 |
| 1033598602 | Demetria Anderson | Counselor | 1301 Seminole Blvd Ste 103, Largo, FL 33770 | 2015-05-28 |
| 1962881821 | Building Blocks Therapy, Pllc | Community/Behavioral Health | 1301 Seminole Blvd Building A Suite 103, Largo, FL 33770 | 2015-05-26 |
| 1457765968 | Summer Moon | Dermatology | 115 Highland Ave N, Largo, FL 33770 | 2014-06-12 |
| 1578982393 | Lauren Elizabeth Grandpre | Emergency Medicine | 201 14th St. Sw, Largo Medical Center Emergency Department, Largo, FL 33770 | 2014-04-09 |
| Find all providers in zip 33770 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245887116 | Jennifer Chinyere Madubuko | Home Health | 1300 Mercantile Ln Ste 138d, Largo, MD 20774-5327 | 2019-08-24 |
| 1265918874 | Bertishia Lashanti Mosley | Home Health | 2308 Fulton Way, Largo, FL 33774 | 2018-07-17 |
| 1063953818 | Millennium Ventures Inc | Home Health | 9500 Arena Drive, Suite 440e, Largo, MD 20774 | 2017-03-13 |
| 1427595446 | D A Care Solution | Home Health | 3900 Belle Oak Blvd, Suite 109, Largo, FL 33771-2758 | 2017-01-28 |
| 1609323617 | K&s Unlimited Care Inc | Home Health | 801 W Bay Dr Ste 318, Largo, FL 33770-3264 | 2016-09-07 |
| 1578959284 | Dependable Reliable Service | Home Health | 705 Castlewood Dr, Largo, MD 20774-2212 | 2015-04-09 |
| 1265799456 | Kovais Medical Services | Home Health | 8811 Lottsford Rd, #335, Largo, MD 20774-4836 | 2012-04-12 |
| 1528378528 | Highly Blessed Healthcare Services | Home Health | 9251 Lottsford Rd Apt 3d, Largo, MD 20774-3769 | 2010-10-09 |
| 1326371980 | Nurse To You Home Health Care, Inc. | Home Health | 11621 Seminole Blvd, Largo, FL 33778-3207 | 2009-09-15 |
| 1780820910 | Peace, Inc | Home Health | 7411 114th Ave Ste 303, Largo, FL 33773-5108 | 2008-12-17 |
| Find all providers in LARGO | ||||
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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.