Organization Active NPI

Brookdale Home Health, LLC

Doing business as Brookdale Home Health

  • Home Health Agency
  • Lynnwood, WA
National Provider Identifier
1316337298
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BROOKDALE HOME HEALTH, LLC
Doing business as
Brookdale Home Health
Practice address
19009 33Rd Ave W Ste 330
Lynnwood, WA 98036-4741
Phone
(206) 417-7700
NPI assigned
Jan 29, 2015
Last updated
May 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Authorized official

Name
Donnis M. Evans
Title
Manager, Regulatory Practices
Phone
(615) 564-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

19009 33Rd Ave W Ste 330
Lynnwood, WA 98036-4741

Mailing address

111 Westwood PL
Brentwood, TN 37027-5021
Phone (615) 221-2250

Other names 1

  • Brookdale Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1926 10th Ave N
Ste 205
Lake Worth Beach, FL 33461
Phone (561) 282-6014

120 E Pine St
Ste 5
Lakeland, FL 33801
Phone (863) 683-8249

6709 Ridge Rd
Ste 208
Port Richey, FL 34668
Phone (727) 232-7000

3940 Upper Creek Dr
Sun City Center, FL 33573
Phone (813) 633-9150

4920 W Cypress St
Ste 108
Tampa, FL 33607
Phone (813) 287-8225

51 NW Carolina St
#14
West Melbourne, FL 32904
Phone (321) 952-5550

51 NW Carolina St
Ste 104
West Melbourne, FL 32904
Phone (321) 952-5550

408 Northwood Rd
West Palm Beach, FL 33407
Phone (561) 659-2888

301 3rd St NW
Ste 218
Winter Haven, FL 33881
Phone (863) 298-9125

19009 33rd Ave W
Ste 330
Lynnwood, WA 98036
Phone (206) 417-7700

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jun 22, 2021 Change of OwnershipThis provider was the seller Assured Home HealthCCN 507084, WA, NPI 1205403144

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1316337298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WESTWOOD PL",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275021",
            "telephone_number": "615-221-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19009 33RD AVE W STE 330",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364741",
            "telephone_number": "206-417-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DONNIS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER, REGULATORY PRACTICES",
        "authorized_official_telephone_number": "615-564-8181"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookdale Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.