Sanctuary Brooklyn Center Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SANCTUARY BROOKLYN CENTER OPERATIONS, LLC

Doing business as

Sanctuary at Brooklyn Center

Practice address

6121 Brooklyn Blvd
Brooklyn Center, MN 55429-4033

Phone

(763) 312-6550

NPI assigned

Jan 8, 2018

Organization subpart

No

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

Authorized official

Name

Jody Barney

Title

Regional Al Director

Phone

(612) 770-3751

Specialties & licenses 1

Addresses

Other names 1

• Sanctuary at Brooklyn Center Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1326555756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 BROOKLYN BLVD",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554294033",
            "telephone_number": "763-312-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 BROOKLYN BLVD",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554294033",
            "telephone_number": "763-312-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY BROOKLYN CENTER OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "BARNEY",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "REGIONAL AL DIRECTOR",
        "authorized_official_telephone_number": "612-770-3751"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanctuary at Brooklyn Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Renee L Sandvik
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• Mary Sauer, PHARM.D.
• Annamarie Savariego
• Brooklyn Ciara Saxton

• Assisted Living Facility in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.