Rac Brittany House

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

191601027 Issued in CA

Legal business name

RAC BRITTANY HOUSE

Doing business as

Brittany House-Residential Alzheimers

Practice address

5641 Centralia Avenue
Long Beach, CA 90808

Phone

(562) 421-4717

NPI assigned

Mar 8, 2016

Organization subpart

No

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

Authorized official

Name

Todd Shetter

Title

Chief Operating Officer

Phone

(858) 565-4424

Specialties & licenses 1

Addresses

Other names 1

• Brittany House-Residential Alzheimers Doing business as

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1447611298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9619 CHESAPEAKE DR",
            "address_2": "SUITE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231368",
            "telephone_number": "858-565-4424",
            "fax_number": "858-565-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5641 CENTRALIA AVENUE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90808",
            "telephone_number": "562-421-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAC BRITTANY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "SHETTER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "858-565-4424"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": "191601027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brittany House-Residential Alzheimers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sophia Rabiee, PMHNP-BC
• Giuseppe Macawili Rabin
• Sara Michelle Rabinovitch, PHD
• Solomon F Rabinowitz, M.D.
• Lori Rabner
• Maria Veronica Uvero Racelis, BA
• Anita Marie Rachal-Pearson, C.C.D.C.
• Charlynn Rachell
• Linda Rachell, RN
• Rad-Image Medical Group Inc

• Alzheimer Center (Dementia Center) in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Alzheimer Center (Dementia Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.