NPIMap

Organization Active NPI

Earle Brown Terrace Operations LLC

Doing business as Earle Brown Terrace

  • Assisted Living Facility
  • Brooklyn Center, MN
National Provider Identifier
1093050577
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EARLE BROWN TERRACE OPERATIONS LLC
Doing business as
Earle Brown Terrace
Practice address
6100 Summit Dr N
Brooklyn Center, MN 55430-2151
Phone
(763) 560-6829
Fax
(763) 503-3819
NPI assigned
Dec 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Authorized official

Name
Judi L Buxo
Title
Sr VP Dir of Asset Management
Phone
(515) 875-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6100 Summit Dr N
Brooklyn Center, MN 55430-2151

Mailing address

400 Locust St Ste 820
Des Moines, IA 50309-2334
Phone (515) 875-4500

Other names 1

  • Earle Brown Terrace Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1093050577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LOCUST ST STE 820",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092334",
            "telephone_number": "515-875-4500",
            "fax_number": "515-875-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 SUMMIT DR N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302151",
            "telephone_number": "763-560-6829",
            "fax_number": "763-503-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLE BROWN TERRACE OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "BUXO",
        "authorized_official_first_name": "JUDI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SR VP DIR OF ASSET MANAGEMENT",
        "authorized_official_telephone_number": "515-875-4500"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Earle Brown Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.