Brenton Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BRENTON HOME HEALTH LLC

Practice address

5050 Palo Verde St Ste 123
Montclair, CA 91763-2334

Phone

(949) 244-9621

NPI assigned

Jan 21, 2020

Organization subpart

No

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

Authorized official

Name

Judith Nivera

Title

Owner/Member

Phone

(626) 390-4291

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1619507456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 PALO VERDE ST STE 123",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632334",
            "telephone_number": "949-244-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 PALO VERDE ST STE 123",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632334",
            "telephone_number": "949-244-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTON HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "NIVERA",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "626-390-4291"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Boydston
• Shaylin Brackenridge
• Frank Bravo
• Nyisha Brazley
• Kia Brenson
• Kalysta Amber Brett
• Jayne Laura Bretzing
• Bridge of Montclair
• Brightlane Healthcare Inc
• Garryson Brosman-Zamora

• Home Health Agency in Montclair, CA
• Providers in Montclair, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.