NPIMap

Organization Active NPI

Brooke Grove Foundation, Inc

Doing business as The Meadows

  • Assisted Living Facility
  • Sandy Spring, MD
National Provider Identifier
1740484047
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
15AL163 Issued in MD
Legal business name
BROOKE GROVE FOUNDATION, INC
Doing business as
The Meadows
Practice address
1635 Hickory Knoll Rd
Sandy Spring, MD 20860-1347
Phone
(301) 924-2811
NPI assigned
Jun 12, 2007
Last updated
May 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Mr. Dennis Karl Hunter
Title
Vice President
Phone
(301) 924-2811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 15AL163 MD Primary

Addresses

Primary practice location

1635 Hickory Knoll Rd
Sandy Spring, MD 20860-1347

Mailing address

1635 Hickory Knoll Rd
Sandy Spring, MD 20860-1347
Phone (301) 924-2811

Other names 1

  • The Meadows Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2250140Brooke Grove Foundation. LNC. D.B.a. Meadows 16351635 Hickory Knoll Road, Sandy Spring, MD 20860Certificate of waiverJan 24, 2028

National Provider Directory

National Provider Directory
Tax ID family
Brooke Grove Foundation Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1635 Hickory Knoll Rd
Sandy Spring, MD 20860
Phone (301) 924-1228

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1740484047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 HICKORY KNOLL RD",
            "city": "SANDY SPRING",
            "state": "MD",
            "postal_code": "208601347",
            "telephone_number": "301-924-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 HICKORY KNOLL RD",
            "city": "SANDY SPRING",
            "state": "MD",
            "postal_code": "208601347",
            "telephone_number": "301-924-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE GROVE FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "301-924-2811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "15AL163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Meadows",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandy Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.