Brookhaven Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BROOKHAVEN ASSISTED LIVING, LLC

Practice address

15358 W Post Cir
Surprise, AZ 85374-1422

Phone

(408) 393-2002

NPI assigned

Aug 16, 2021

Last updated

Aug 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cole Bradley Skelton

Title

Owner

Phone

(408) 393-2002

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1215602792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 W BONO BLVD",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840453113",
            "telephone_number": "408-373-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15358 W POST CIR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853741422",
            "telephone_number": "408-393-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "SKELTON",
        "authorized_official_first_name": "COLE",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-393-2002"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.brookhavensurprise.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Surprise",
            "address_1": "15358 W Post Cir",
            "city": "Surprise",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853741422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christine O Briones, PA
• Cami Leigh Bro
• Ashley Nichole Brock, FNP-BC
• Connor Gordan Brock
• Jamie Brockman, PAC
• Julia Brookman, M.D
• Allene Maxwell Brooks, LPC, LISAC
• Johanna M Brooks, PA-C
• Allison Brown
• Carolyn Jane Brown, M.D.

• Assisted Living Facility in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.