Brooksville Lessee LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BROOKSVILLE LESSEE LLC

Practice address

1114 Chatman Blvd
Brooksville, FL 34601-3104

Phone

(352) 796-6701

Fax

(352) 796-6514

NPI assigned

Jul 29, 2009

Last updated

Jul 29, 2009By 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

James P. Earle III

Title

President

Phone

(615) 255-0009

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1649401324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 COMMERCE ST",
            "address_2": "SUITE 3125",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372033742",
            "telephone_number": "615-255-0009",
            "fax_number": "615-242-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 CHATMAN BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013104",
            "telephone_number": "352-796-6701",
            "fax_number": "352-796-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSVILLE LESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "EARLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-255-0009",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.