Brookhaven'S Residential Care Center

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

118746 Issued in TX

Legal business name

BROOKHAVEN'S RESIDENTIAL CARE CENTER

Practice address

1222 Theresa St
Houston, TX 77051

Phone

(713) 738-6077

Fax

(713) 264-0477

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Florine Melton, RN

Title

Administrator

Phone

(713) 738-6077

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Florine Melton Other name

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124167895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 THERESA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77051",
            "telephone_number": "713-738-6077",
            "fax_number": "713-264-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 THERESA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77051",
            "telephone_number": "713-738-6077",
            "fax_number": "713-264-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN'S RESIDENTIAL CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "FLORINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-738-6077",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "118746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX BOARD OF NURSE EXAM",
            "identifier": "228014",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florine Melton",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joshua Broniszewski, MD
• Julianna Bronk, MD, PHD
• Brookdale Cypress Station, LLC
• Jessica Eileen Brooker, PT
• Brookfield Pharmacy LLC
• Brookhollow OB & GYN Clinic, PLLC
• Clinton Brooks IV
• Daphne L Brooks Reed, DMD
• Gizelle Nicole Brooks-Carter, M.D.
• Nicole Brooks-Hamilton

• Registered Nurse in Houston, TX
• Providers in Houston, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.