NPIMap

Organization Active NPI

Brethren Care Village, LLC

Doing business as Brookwood Place

  • Assisted Living Facility
  • Ashland, OH
National Provider Identifier
1245833250
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BRETHREN CARE VILLAGE, LLC
Doing business as
Brookwood Place
Practice address
1998 Center St
Ashland, OH 44805-4368
Phone
(419) 289-1585
Fax
(419) 289-0715
NPI assigned
Nov 20, 2020
Last updated
Apr 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Mrs. Mindy Scurlock
Title
Chief Executive Officer
Phone
(419) 289-1585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1998 Center St
Ashland, OH 44805-4368

Mailing address

2140 Center St
Ashland, OH 44805-4376
Phone (419) 289-1585

Other names 1

  • Brookwood Place Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1038747Brookwood Place at Brethren Care1998 Center Street, Ashland, OH 44805Certificate of waiverMar 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Brethren Care Village LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1245833250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 CENTER ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054376",
            "telephone_number": "419-289-1585",
            "fax_number": "419-289-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 CENTER ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054368",
            "telephone_number": "419-289-1585",
            "fax_number": "419-289-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETHREN CARE VILLAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "SCURLOCK",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "419-289-1585",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookwood Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookwood Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.