Bravo Care of Alton Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1854224 Issued in IL

Legal business name

BRAVO CARE OF ALTON INC

Practice address

3490 Humbert Rd
Alton, IL 62002-7101

Phone

(618) 465-2626

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Aleksandra Savic

Title

Director

Phone

(314) 994-9070

Specialties & licenses 2

Addresses

Other names 1

• Rosewood Care Center of Alton Doing business as

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1205023967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 BORMAN DR STE 315",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 HUMBERT RD",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620027101",
            "telephone_number": "618-465-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO CARE OF ALTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "SAVIC",
        "authorized_official_first_name": "ALEKSANDRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-994-9070"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1854224",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosewood Care Center of Alton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leesa Boyer
• Brad McMillin, Inc.
• Bradley W Roberts DMD PC
• Laura L Brandenburg, FNP
• Michele D Brannan, PA-C
• Cheryl L Bray, FNP
• Audrey Michelle Brennan, FNP-C
• Patricia Breshears
• Bria of Alton LP
• David Brickhouse, MA,LPC

• Skilled Nursing Facility in Alton, IL
• Providers in Alton, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.