Brayne Concepts

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

089333 Issued in FL

Legal business name

BRAYNE CONCEPTS

Practice address

2360 E 5TH St
Lehigh Acres, FL 33936-4332

Phone

(239) 368-8833

Fax

(239) 368-8833

NPI assigned

Mar 23, 2008

Organization subpart

No

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

Authorized official

Name

Heather Maureen Holder

Title

Arnp

Phone

(239) 368-8833

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BAJAN PROFESSIONAL GROUP HOME Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Maureen Brathwaite, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1083628028
  NPD

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

{
    "created_epoch": "1206230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213401600000",
    "number": "1114198728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 E 5TH ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364332",
            "telephone_number": "239-368-8833",
            "fax_number": "239-368-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 E 5TH ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364332",
            "telephone_number": "239-368-8833",
            "fax_number": "239-368-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAYNE CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-23",
        "last_updated": "2008-06-14",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "MAUREEN",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "239-368-8833"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "FL",
            "license": "089333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692003996",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAJAN PROFESSIONAL GROUP HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Guillermo Boudet Rodriguez
• Angela Dawn Bowen, ARNP, FNP-C
• Merary Bozada Diaz
• Brandi Rae Bradford
• Arlet Brana
• Ninoska Brea de Leon
• Carrie Dali Breault, MS
• Alyssa Lora Brewer
• Joann Vladine Brice
• Bright Care Group LLC

• Intellectual Disabilities Intermediate Care Facility in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Intellectual Disabilities Intermediate Care Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.