Brook Haven Home, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

BROOK HAVEN HOME, INC.

Practice address

1580 County Road 43
Fyffe, AL 35971

Phone

(256) 659-2989

NPI assigned

Sep 27, 2011

Last updated

Sep 27, 2011By 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

Deanna Wilks

Title

Director

Phone

(256) 659-2989

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1316220163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 COUNTY ROAD 43",
            "city": "FYFFE",
            "state": "AL",
            "postal_code": "35971",
            "telephone_number": "256-659-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 COUNTY ROAD 43",
            "city": "FYFFE",
            "state": "AL",
            "postal_code": "35971",
            "telephone_number": "256-659-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOK HAVEN HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "WILKS",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "256-659-2989"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fyffe, AL
• Providers in Fyffe, AL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.