Braswell'S Chateau Villa

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

360902129 Issued in CA

Legal business name

BRASWELL'S CHATEAU VILLA

Practice address

620 E Highland Ave
Redlands, CA 92374-6231

Phone

(909) 793-0433

NPI assigned

Mar 1, 2017

Organization subpart

No

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

Authorized official

Name

Janie Hefner

Title

Administrator

Phone

(909) 793-0433

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1518407113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E HIGHLAND AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923746231",
            "telephone_number": "909-793-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E HIGHLAND AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923746231",
            "telephone_number": "909-793-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRASWELL'S CHATEAU VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "HEFNER",
        "authorized_official_first_name": "JANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-793-0433"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "360902129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCLD",
            "identifier": "360902129",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherry L. Brandstater, M.D.
• David Brandt, NP
• Jens Peter Brandt, R.P.T
• Wayne Brandt, D.D.S.
• Christine Brassfield, LCSW
• Braswells Colonial Care of Redlands
• Marvin Donald Brauer, M.D.
• Jacqueline Bravo-Ramirez, NP
• Shannon Breakey, OTR/L
• Sydney Breedlove, PHD

• Assisted Living Facility in Redlands, CA
• Providers in Redlands, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.