Brevard Hma Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8134 Issued in FL

Legal business name

BREVARD HMA ALF LLC

Doing business as

Town Square At Viera, The

Practice address

1700 Wuesthoff Dr
Melbourne, FL 32940-6842

Phone

(321) 255-6030

Fax

(321) 255-3075

NPI assigned

Apr 18, 2013

Last updated

Apr 18, 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

Ms. Meghan Guy

Title

Administrator

Phone

(321) 255-6030

Specialties & licenses 1

Addresses

Other names 1

• Town Square At Viera, The Doing business as

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1730523036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WUESTHOFF DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406842",
            "telephone_number": "321-255-6030",
            "fax_number": "321-255-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WUESTHOFF DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406842",
            "telephone_number": "321-255-6030",
            "fax_number": "321-255-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD HMA ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-255-6030",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town Square At Viera, The",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brevard Health Alliance, Inc.
• Brevard Health Alliance, Inc. (BHA Silver Palm Pharmacy)
• Brevard Health Care LLC
• Brevard Health Center PL
• Brevard Health Group LLC (Brevard Spine and Rehab Institute)
• Brevard Hma Diagnostic Imaging LLC (Wuesthoff X-ray and Lab)
• Brevard Hma HME, LLC (Wuesthoff Home Medical Equipment)
• Brevard Hma HME, LLC (Wuesthoff Home Medical Equipment)
• Brevard Home Care LLC (Griswold Homecare)
• Brevard Hope Center

• Assisted Living Facility in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.