Organization Active NPI

Browns Boarding Alf

  • Assisted Living Facility (Behavioral Disturbances)
  • Bradenton, FL
National Provider Identifier
1063651479
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
BROWNS BOARDING ALF
Practice address
113 11TH Ave W
Bradenton, FL 34205-8753
Phone
(941) 747-5102
Fax
(941) 748-7102
NPI assigned
Feb 9, 2009
Last updated
Feb 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
Becky Brown Witter
Title
Owner
Phone
(941) 747-5102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

113 11TH Ave W
Bradenton, FL 34205-8753

Mailing address

113 11TH Ave W
Bradenton, FL 34205-8753
Phone (941) 747-5102

Other identifiers 1

IdentifierTypeStateIssuer
688379296MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1063651479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 11TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058753",
            "telephone_number": "941-747-5102",
            "fax_number": "941-748-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 11TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058753",
            "telephone_number": "941-747-5102",
            "fax_number": "941-748-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNS BOARDING ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "BROWN WITTER",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-747-5102"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688379296",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.