GBGB LC Dba Briarwood Care Center

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

490571 Issued in IA

Legal business name

GBGB LC DBA BRIARWOOD CARE CENTER

Practice address

416 S Clark St
Maquoketa, IA 52060-3226

Phone

(563) 652-5354

Fax

(563) 652-4300

NPI assigned

Dec 29, 2006

Last updated

Jun 17, 2008By 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

Mrs. Regina Kay Bramer

Title

Administrator

Phone

(563) 652-5354

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, and the practitioner matching its NPPES authorized official.

• N Jean Brownson, MSW, LISW

  • Clinical Social Worker
  • Maquoketa, IA
  • NPI 1326090945
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1063578359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 S CLARK ST",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520603226",
            "telephone_number": "563-652-5354",
            "fax_number": "563-652-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S CLARK ST",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520603226",
            "telephone_number": "563-652-5354",
            "fax_number": "563-652-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GBGB LC DBA BRIARWOOD CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "BRAMER",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "563-652-5354",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "IA",
            "license": "490571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fabiola Marie Gallardo Penchi, PHARMD
• Kole Gallick, PHARMD
• Jill A. Garner, BA
• Joseph Ryan Garrison, DPT
• Margaret Rose Gavin
• Abby Lee Gehl, DDS
• Kylie Shea Gerardy, PHARMD
• Carrington Giddings, COTA
• Sidney Hambly, M.S. CF-SLP
• Raymond McKenzie Hamilton, D.O.

• Adult Care Home Facility in Maquoketa, IA
• Providers in Maquoketa, IA by specialty
• Adult Care Home Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.