NPIMap

Organization Active NPI

Queen Brown Haven Assisted Living Facility

  • Assisted Living Facility
  • Bristol, FL
National Provider Identifier
1437586609
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12393 Issued in FL
Legal business name
QUEEN BROWN HAVEN ASSISTED LIVING FACILITY
Practice address
6906 NW Torreya Park Road
Bristol, FL 32321
Phone
(850) 643-2876
Fax
(850) 643-2878
NPI assigned
Oct 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Ms. Nonnie Lashiel Brown, OWNER
Title
Administrator
Phone
(850) 643-2876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12393 FL Primary

Addresses

Primary practice location

6906 NW Torreya Park Road
Bristol, FL 32321

Mailing address

6906 N N W Torreya State Park Road
Bristol, FL 32321
Phone (850) 643-2876

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1437586609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6906 N N W TORREYA STATE PARK ROAD",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "32321",
            "telephone_number": "850-643-2876",
            "fax_number": "850-643-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6906 NW TORREYA PARK ROAD",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "32321",
            "telephone_number": "850-643-2876",
            "fax_number": "850-643-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN BROWN HAVEN ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NONNIE",
        "authorized_official_middle_name": "LASHIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-643-2876",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.