Active NPI
Brooks Home Care LLC
- In Home Supportive Care Agency
- Winston Salem, NC
National Provider Identifier
1134950777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- BROOKS HOME CARE LLC
- Practice address
- 8025 N Point Blvd Ste 282
Winston Salem, NC 27106-3860 - Phone
- (336) 692-8365
- NPI assigned
- Aug 13, 2024
- Last updated
- Aug 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jasmine Masha Brooks
- Title
- Owner
- Phone
- (336) 692-8365
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
8025 N Point Blvd Ste 282
Winston Salem, NC 27106-3860
Mailing address
8025 N Point Blvd Ste 282
Winston Salem, NC 27106-3860
Phone (336) 692-8365
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26777128 | Other | NC | DA |
| 26777128 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
8025 N Point Blvd
Ste 282
Winston Salem, NC 27106
Phone (336) 692-8365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723507200000",
"number": "1134950777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8025 N POINT BLVD STE 282",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063860",
"telephone_number": "336-692-8365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8025 N POINT BLVD STE 282",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063860",
"telephone_number": "336-692-8365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKS HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-13",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "JASMINE",
"authorized_official_middle_name": "MASHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-692-8365"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DA",
"identifier": "26777128",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "26777128",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
- Fred G Bromberg, M.D.
- Bronson Chiropractic & Acupuncture Clinic of the Triad, PLLC
- Amy Alice Bronson, D.C.
- Brookdale Senior Living Communities, Inc. (Clare Bridge of Winston-Salem)
- Jeanne Brooker
- Amber Keller Brooks, MD
- Emily Caroline Brooks, PA
- Gabrielle Proto Brooks, PA-C
- Jayoniece Tara Brooks, BCBA
- Jenna Kindley Brooks, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.