NPIMap

Organization Active NPI

Brentwood Meadow Health Care Associates LLC

  • Assisted Living Facility
  • Lecanto, FL
National Provider Identifier
1700824463
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL4987 Issued in FL
Legal business name
BRENTWOOD MEADOW HEALTH CARE ASSOCIATES LLC
Practice address
1900 W Alpha CT
Lecanto, FL 34461-7507
Phone
(352) 746-6600
Fax
(352) 746-6662
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Authorized official

Name
Kenneth Ussery
Title
VP
Phone
(407) 571-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL4987 FL Primary

Addresses

Primary practice location

1900 W Alpha CT
Lecanto, FL 34461-7507

Mailing address

1900 W Alpha CT
Lecanto, FL 34461-7507
Phone (352) 746-6600

Other identifiers 2

IdentifierTypeStateIssuer
141719300MedicaidFL
690629000MedicaidFL

Other names 1

  • Brentwood Retirement Community Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brentwood Meadow Health Care Associates 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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1700824463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W ALPHA CT",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344617507",
            "telephone_number": "352-746-6600",
            "fax_number": "352-746-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W ALPHA CT",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344617507",
            "telephone_number": "352-746-6600",
            "fax_number": "352-746-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD MEADOW HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "USSERY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "407-571-1550"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL4987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141719300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690629000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brentwood Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brentwood Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lecanto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.