Brentwood Assisted Living LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

BRENTWOOD ASSISTED LIVING LLC

Practice address

3408 N Star St
Anchorage, AK 99503-4539

Phone

(909) 750-0292

NPI assigned

May 25, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Malias Lake AndrewsNPI 1073288478

Title

Owner/Administrator

Phone

(909) 750-0292

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Malias Andrews

  • Mental Health Counselor
  • Coos Bay, OR
  • NPI 1073288478
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716595200000",
    "number": "1043050339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 N STAR ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 N STAR ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034539",
            "telephone_number": "909-750-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-25",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "MALIAS",
        "authorized_official_middle_name": "LAKE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "909-750-0292"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiernan May Brenner-Gelvin
• James Lewis Brenner, LMFT
• Toni L Brent, PMHNP
• Robert Brenteson, MD
• Devon Brentlinger
• Eli Dylan Bress, DO
• Jonathan M Bressler, MD
• Brett Adam Barringer
• Haley Brett, SLP
• Brittany M Bretz, RN

• Assisted Living Facility (Mental Illness) in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Assisted Living Facility (Mental Illness) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.