Brendlyn Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRENDLYN ASSISTED LIVING LLC

Practice address

9 Fieldstone LN
Palm Coast, FL 32137-9235

Phone

(386) 225-4672

Fax

(386) 276-3068

NPI assigned

Mar 4, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Albert Watson Harrington III

Title

Manager

Phone

(386) 225-4672

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1205421096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FIELDSTONE LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321379235",
            "telephone_number": "386-225-4672",
            "fax_number": "386-276-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 FIELDSTONE LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321379235",
            "telephone_number": "386-225-4672",
            "fax_number": "386-276-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDLYN ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "WATSON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "386-225-4672",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Branstiter, BSN
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• Danielle Breeding
• Breanna Breedlove
• Sara Gayle Breedlove, PTA
• Lisa Ann Brewer, RN
• Ashley Nicole Briggs, APRN
• Christopher J Britt, OT/L
• Joann Elizabeth Brock
• Brookdale Senior Living Communities, Inc. (Brookdale Palm Coast)

• Assisted Living Facility in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.