Brookstone Haven of Star Assisted Living, LLC
Organization Active NPI Assisted Living Facility · Star, NC
NPI 1497999031 · NPPES record last updated Jun 13, 2013
Key facts
- NPI
- 1497999031
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- BROOKSTONE HAVEN OF STAR ASSISTED LIVING, LLC
- Practice address
- 327 Freeman St
Star, NC 27356-7623 - Phone
- (910) 428-2101
- NPI assigned
- Apr 27, 2009
- Organization subpart
- No
Authorized official
- Name
- David Dean Wilson
- Title
- Managing Member
- Phone
- (336) 495-2700
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes | ||
| Adult Care Home Facility | 311ZA0620X | HAL-06-2014 | NC |
Addresses
Primary practice location
327 Freeman St
Star, NC 27356-7623
Mailing address
PO Box 814
Randleman, NC 27317-0814
Phone (336) 495-2700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7806556 | Medicaid | NC |
Other names
- Brookstone Haven of Star
Other providers in Star, NC
- Cagle Rest Home
- Cagles Rest Home
- Carolinas Alliance for Residential Excellence - Star, LLC
- CNC Family Medicine, PLLC
- Crowder Family Care
All providers in Star, NC · Assisted Living Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.