Brentwood, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

BRENTWOOD, INC.

Practice address

1767 W Brentwood PL
Anaheim, CA 92804-2508

Phone

(714) 491-2840

Fax

(714) 778-3807

NPI assigned

Oct 19, 2023

Organization subpart

No

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

Authorized official

Name

Lourdes Rogers Decenzo

Title

President/Cfo

Phone

(714) 296-1597

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G820

Legal name

BRENTWOOD INC

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jan 14, 2025

Last certification

Jan 14, 2025

Beds

6

Ownership / control type

Private (non-profit)

Facility address

1767 W Brentwood PL
Anaheim, CA 92804

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1053193326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 W BRENTWOOD PL",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928042508",
            "telephone_number": "714-491-2840",
            "fax_number": "714-778-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 W BRENTWOOD PL",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928042508",
            "telephone_number": "714-491-2840",
            "fax_number": "714-778-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "ROGERS DECENZO",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "PRESIDENT/CFO",
        "authorized_official_telephone_number": "714-296-1597"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Marie Breau
• Jessica Breiter-Bonner, LM CPM RN
• Vashti Iman Breland
• Myra Kay Bremen, RDN, ATC
• Michael Patrick Brennan, MS ATC CSCS
• William Brevard III
• Shaye Brewer
• Brian T. Luong DMD Mba Ms PC
• Robertson Briana, RN
• Rosa M Bribiesca, NP NURSE PRACTITIONE

• Nursing Facility/Intermediate Care Facility in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.