Grand Brook Memory Care of Zionsville

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRAND BROOK MEMORY CARE OF ZIONSVILLE

Practice address

11870 Sandy Dr
Zionsville, IN 46077-9327

Phone

(317) 975-0049

NPI assigned

Dec 2, 2020

Organization subpart

No

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

Authorized official

Name

Chad Anderson

Title

President

Phone

(469) 331-8200

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1386249845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7708 SAN JACINTO PL STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243206",
            "telephone_number": "469-331-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11870 SANDY DR",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460779327",
            "telephone_number": "317-975-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND BROOK MEMORY CARE OF ZIONSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-331-8200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Golde, MS OTR
• Serena Good
• Daniel Scott Gorgol, R.PH.
• Lisa Gottfried
• Gracious Hearts Homecare LLC
• Mailina Grant
• Elizabeth Russell Griffin, M.D.
• Lauren Griffith, LMHC
• Adam Dylan Grove, DPT
• Noelle Elizabeth Guckien, LSW

• Assisted Living Facility in Zionsville, IN
• Providers in Zionsville, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.