Bravo Care of East Peoria Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1854124 Issued in IL

Legal business name

BRAVO CARE OF EAST PEORIA INC

Doing business as

Rosewood Care Center of East Peoria

Practice address

900 Centennial Dr
East Peoria, IL 61611-4928

Phone

(309) 699-5400

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Aleksandra Savic

Title

Ar Director

Phone

(314) 994-9070

Specialties & licenses 2

Addresses

Other names 1

• Rosewood Care Center of East Peoria Doing business as

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495065600000",
    "number": "1114114873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 BORMAN DR STE 315",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CENTENNIAL DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616114928",
            "telephone_number": "309-699-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO CARE OF EAST PEORIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2017-05-18",
        "status": "A",
        "authorized_official_last_name": "SAVIC",
        "authorized_official_first_name": "ALEKSANDRA",
        "authorized_official_title_or_position": "AR DIRECTOR",
        "authorized_official_telephone_number": "314-994-9070"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1854124",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosewood Care Center of East Peoria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana A D Bischoff, MA CSADC
• Anne Marie Blue, PHARMD
• Amelia Boncu
• John A Brackney
• Kmisha Brand, RN, MSN, FNP-BC
• Morgan Elizabeth Brockhouse, DMD
• Dustin Brooks
• Reka Brooks
• Dustin Robert Brown, PT, DPT, ATC, LAT
• Rachel Brunetto

• Skilled Nursing Facility in East Peoria, IL
• Providers in East Peoria, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; 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.