Community Based Care of Brevard

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COMMUNITY BASED CARE OF BREVARD

Practice address

760 North Dr Ste E
Melbourne, FL 32934-9247

Phone

(321) 752-4650

Fax

(321) 752-3188

NPI assigned

Feb 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Nellius

Title

Chief Executive Officer

Phone

(321) 752-3183

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508900564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 NORTH DR STE E",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329349247",
            "telephone_number": "321-752-4650",
            "fax_number": "321-752-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 NORTH DR STE E",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329349247",
            "telephone_number": "321-752-4650",
            "fax_number": "321-752-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BASED CARE OF BREVARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELLIUS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "321-752-3183",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.