NPIMap

Organization Active NPI

Brea Brea LLC

  • Assisted Living Facility
  • Brea, CA
National Provider Identifier
1134442940
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
306003639 Issued in CA
Legal business name
BREA BREA LLC
Practice address
285 W Central Ave
Brea, CA 92821-3374
Phone
(714) 671-7898
Fax
(714) 671-1714
NPI assigned
Mar 8, 2010
Organization subpart
Yes
Parent organization
BREA EMERITUS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Noelle Bickel
Title
Licensing Specialist
Phone
(206) 298-2909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 306003639 CA Primary

Addresses

Primary practice location

285 W Central Ave
Brea, CA 92821-3374

Mailing address

3131 Elliott Ave
Suite 500
Seattle, WA 98121-1044
Phone (206) 298-2909

Other names 1

  • Emeritus at Brea Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brea Charlotte LLC25 organizations share this tax ID, including this one
Part of
Brea Charlotte LLC

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1134442940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELLIOTT AVE",
            "address_2": "SUITE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211044",
            "telephone_number": "206-298-2909",
            "fax_number": "206-301-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 W CENTRAL AVE",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213374",
            "telephone_number": "714-671-7898",
            "fax_number": "714-671-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREA BREA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BREA EMERITUS LLC",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "BICKEL",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_title_or_position": "LICENSING SPECIALIST",
        "authorized_official_telephone_number": "206-298-2909"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "306003639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emeritus at Brea",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.