Braswell'S Leisure Manor

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

360900100 Issued in CA

Legal business name

BRASWELL'S LEISURE MANOR

Practice address

32195 Avenue E
Yucaipa, CA 92399-1797

Phone

(909) 797-1314

Fax

(909) 797-9321

NPI assigned

Nov 8, 2011

Organization subpart

No

Name

Ms. Janet Erin Piccinati

Title

Administrator

Phone

(909) 797-1314

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blake Robert Shaw, MD

  • Ophthalmology Physician
  • San Diego, CA
  • NPI 1649206541
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 8, 2011.

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1609153402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32195 AVENUE E",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923991797",
            "telephone_number": "909-797-1314",
            "fax_number": "909-797-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32195 AVENUE E",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923991797",
            "telephone_number": "909-797-1314",
            "fax_number": "909-797-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRASWELL'S LEISURE MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "PICCINATI",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-797-1314",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "360900100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vernon R Bradley, LMFT
• Tonda Dale Bradshaw, DO
• Taylor Brand
• Jennifer Brasher, M.A., P.P.S.
• Braswell'S Community Convalescent LTD
• Braswell'S Mediterranean Gardens, LP
• Braswells Hampton Manor LP
• Braswells Yucaipa Valley Convalescent LP
• Karina Yaretzi Bressant-Rocha
• Brianna Holley Licensed Professional Clinical Counselor Inc

• All providers in Yucaipa, CA
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.