Braswells Hampton Manor LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BRASWELLS HAMPTON MANOR LP

Practice address

11970 4TH St
Yucaipa, CA 92399-2720

Phone

(909) 790-2273

Fax

(909) 790-3333

NPI assigned

Feb 1, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Valerie Candelaria

Title

Director of Ar

Phone

(909) 446-8754

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Cedar Operations LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cedar Operations, LLC

  • Skilled Nursing Facility
  • Yucalpa, CA
  • NPI 1467847996
  NPD tax ID

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609847144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11970 4TH ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992720",
            "telephone_number": "909-790-2273",
            "fax_number": "909-790-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11970 4TH ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992720",
            "telephone_number": "909-790-2273",
            "fax_number": "909-790-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRASWELLS HAMPTON MANOR LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANDELARIA",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "DIRECTOR OF AR",
        "authorized_official_telephone_number": "909-446-8754",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55494F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Brand
• Jennifer Brasher, M.A., P.P.S.
• Braswell'S Community Convalescent LTD
• Braswell'S Leisure Manor
• Braswell'S Mediterranean Gardens, LP
• Braswells Yucaipa Valley Convalescent LP
• Karina Yaretzi Bressant-Rocha
• Brianna Holley Licensed Professional Clinical Counselor Inc
• Karen Brossia
• Brotherly Medical Transportation LLC

• All providers in Yucaipa, CA
• Skilled Nursing Facility in California

• 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.