Brookhaven Homecare Services LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BROOKHAVEN HOMECARE SERVICES LLC

Practice address

3124 65TH Ave N
Brooklyn Center, MN 55429-2243

Phone

(215) 630-5797

Fax

(763) 312-2299

NPI assigned

Nov 6, 2023

Organization subpart

No

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

Authorized official

Name

Dearest A Badio

Title

Administrator

Phone

(609) 498-8850

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1689447260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 BROOKLYN BLVD STE 200",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293086",
            "telephone_number": "763-316-4128",
            "fax_number": "763-312-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 65TH AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292243",
            "telephone_number": "215-630-5797",
            "fax_number": "763-312-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "BADIO",
        "authorized_official_first_name": "DEAREST",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "609-498-8850"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bright and Associates LLC
• Bright Path Homes
• Bright Side Healthcare LLC
• Brenda Ann Brockman, DDS
• Brook Care LLC
• Brooklyn Blvd. Dental
• Brooklyn Center Chiropractic Office, P.a.
• Brooklyn Center Schools
• Brooklyn Center Sports & Injury
• Brooklyn Chiropractic Inc

• Assisted Living Facility in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.