Catalina Gardens Health Care Associates LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7354 Issued in FL

Legal business name

CATALINA GARDENS HEALTH CARE ASSOCIATES LLC

Doing business as

Brookshire, The
The Brookshire

Practice address

85 Bulldog Blvd
Melbourne, FL 32901-3319

Phone

(321) 984-7966

Fax

(321) 984-8101

NPI assigned

Apr 27, 2007

Organization subpart

No

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

Authorized official

Name

Kenneth Ussery

Title

VP

Phone

(407) 571-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Brookshire, The Doing business as
• The Brookshire 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": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1417177684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BULLDOG BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013319",
            "telephone_number": "321-984-7966",
            "fax_number": "321-984-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BULLDOG BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013319",
            "telephone_number": "321-984-7966",
            "fax_number": "321-984-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALINA GARDENS HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "USSERY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "407-571-1550"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693113800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookshire, The",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Brookshire",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.