BREA PEORIA, LLC (NPI# 1982931002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982931002 |
| Entity Type | Organization |
| Organization Name | BREA PEORIA, LLC |
| Other Organization Name | BROOKDALE PEORIA UNION HILLS |
| Practice Address |
9296 W Union Hills Dr Peoria AZ 85382-8158 |
| Mailing Address |
6737 W Washington St Suite 2300 Milwaukee WI 53214-5647 |
| Practice Telephone | 6233622700 |
| Practice Fax Number | 6233622990 |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2016-05-12 |
| Authorized Official Name | BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER) |
| Authorized Official Telephone | 6155648131 |
| Is Organization Subpart | Y |
| Parent Organization Name | BREA EMERITUS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | AL6220C | AZ | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | AL6220C | AZ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AZ AHCCCS | 970635 | 01 |
| Other Name | Type Code |
|---|---|
| Brookdale Peoria Union Hills | Doing Business As Name - Organization |
| Street Address |
9296 W UNION HILLS DR |
| City | PEORIA |
| State | AZ |
| Zip Code | 85382-8158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
| 1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
| 1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| Find all providers in zip 85382 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730508 | Gheorghe Patrutescu | Assisted Living Facility | 16134 N 72nd Ln, Peoria, AZ 85382-4937 | 2020-11-03 |
| 1770103954 | Jcl Healthcare Solutions LLC | Assisted Living Facility | 10161 W Lawrence Ln, Peoria, AZ 85345-7380 | 2020-04-17 |
| 1912536368 | Agua Fria Senior Living, LLC | Assisted Living Facility | 8880 N 107th Ave, Peoria, AZ 85345-2908 | 2020-04-07 |
| 1750915872 | View Point Fairmont Village LLC | Assisted Living Facility | 10401 N 79th Ave, Peoria, AZ 85345-0742 | 2020-02-27 |
| 1104392349 | Orchid Residential Inc. | Assisted Living Facility | 9580 W Orchid Ln, Peoria, AZ 85345-7719 | 2018-10-15 |
| 1013492412 | Pleasant Sunset Assisted Living LLC | Assisted Living Facility | 21393 N 94th Ave, Peoria, AZ 85382-8300 | 2018-10-02 |
| 1245723220 | Ilie Valean | Assisted Living Facility | 8331 W Willowbrook Dr, Peoria, AZ 85382-0894 | 2018-06-13 |
| 1023524626 | Intouch Assisted Living Home Enterprise, LLC | Assisted Living Facility | 7233 W Paradise Ln, Peoria, AZ 85382-4942 | 2017-12-18 |
| 1275052151 | Arrowhead Shore Senior Living, LLC | Assisted Living Facility | 16124 N 87th Dr, Peoria, AZ 85382-3771 | 2017-09-12 |
| 1427577238 | Serene Valley Care LLC | Assisted Living Facility | 29751 N 119th Lane, Peoria, AZ 85383 | 2017-09-12 |
| Find all providers in PEORIA | ||||
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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.