Brentwood Health Care Associates LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1200096 Issued in FL

Legal business name

BRENTWOOD HEALTH CARE ASSOCIATES LLC

Doing business as

Health Center at Brentwood

Practice address

2333 N Brentwood Cir
Lecanto, FL 34461-8536

Phone

(352) 746-6611

Fax

(352) 746-0866

NPI assigned

May 25, 2006

Last updated

Dec 31, 2013By 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

Laura L. Etter

Title

Manager

Phone

(352) 746-6611

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Health Center at Brentwood Doing business as

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1720034341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 N BRENTWOOD CIR",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344618536",
            "telephone_number": "352-746-6611",
            "fax_number": "352-746-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 N BRENTWOOD CIR",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344618536",
            "telephone_number": "352-746-6611",
            "fax_number": "352-746-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "ETTER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-746-6611"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1200096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025226300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Center at Brentwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shenevia Nichole Bostick
• Mary Beth Bottorf, APRN
• Timothy A Brant, M.D.
• Brashears Vital Care Corp (Brashear's Pharmacy)
• Megan Brecher, APRN
• Brentwood Meadow Health Care Associates LLC (Brentwood Retirement Community)
• Brentwoodmeadowhealthcareassodbabrentwood Retirement Community
• Charles F. Brinegar Jr., ARNP
• Tori Brock
• Druzele Browne-Brann, MA

• Skilled Nursing Facility in Lecanto, FL
• Providers in Lecanto, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.