NPIMap

Organization Active NPI

Brea Village Citrus Heights, LLC

  • Alzheimer Center (Dementia Center)
  • Citrus Heights, CA
National Provider Identifier
1720316136
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
347003712 Issued in CA
Legal business name
BREA VILLAGE CITRUS HEIGHTS, LLC
Practice address
7375 Stock Ranch Rd
Citrus Heights, CA 95621-5616
Phone
(916) 729-2722
NPI assigned
Nov 23, 2009
Organization subpart
Yes
Parent organization
BREA EMERITUS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Noelle Bickel
Title
Licensing Specialist
Phone
(206) 298-2909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 347003712 CA Primary

Addresses

Primary practice location

7375 Stock Ranch Rd
Citrus Heights, CA 95621-5616

Mailing address

3131 Elliott Ave Ste 500
Seattle, WA 98121-1032

Other names 1

  • Emeritus at Citrus Heights Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brea Charlotte LLC25 organizations share this tax ID, including this one
Part of
Brea Charlotte LLC

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1720316136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELLIOTT AVE STE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7375 STOCK RANCH RD",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956215616",
            "telephone_number": "916-729-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREA VILLAGE CITRUS HEIGHTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BREA EMERITUS LLC",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "BICKEL",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_title_or_position": "LICENSING SPECIALIST",
        "authorized_official_telephone_number": "206-298-2909"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": "347003712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emeritus at Citrus Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.