Active NPI
Browns Boarding Alf
- Assisted Living Facility (Behavioral Disturbances)
- Bradenton, FL
National Provider Identifier
1063651479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 688379296 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.