Organization Active NPI

Brooks Home Care LLC

  • In Home Supportive Care Agency
  • Winston Salem, NC
National Provider Identifier
1134950777
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
26777128OtherNCDA
26777128MedicaidNC

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.