Brandon Health Care Associates LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF130470969 Issued in FL

Legal business name

BRANDON HEALTH CARE ASSOCIATES LLC

Doing business as

Brandon Health and Rehabilitation Center

Practice address

1465 Oakfield Dr
Brandon, FL 33511-4854

Phone

(813) 655-0404

Fax

(813) 654-9589

NPI assigned

May 24, 2006

Last updated

Feb 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian M. Kuell

Title

Manager

Phone

(813) 655-0404

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brandon Health and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1043265416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114854",
            "telephone_number": "813-655-0404",
            "fax_number": "813-654-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114854",
            "telephone_number": "813-655-0404",
            "fax_number": "813-654-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "KUELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-655-0404"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF130470969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025207700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandon Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Brandon, FL
• Providers in Brandon, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.