Brea Citrus Heights, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BREA CITRUS HEIGHTS, LLC

Practice address

7375 Stock Ranch Rd
Citrus Heights, CA 95621-5616

Phone

(916) 729-2722

NPI assigned

Aug 6, 2024

Organization subpart

No

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

Authorized official

Name

Anna Munoz

Title

Assistant Secretary

Phone

(414) 918-5443

Specialties & licenses 1

Addresses

Other names 1

• Brookdale Sylvan Ranch Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1750111571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7375 STOCK RANCH RD",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956215616",
            "telephone_number": "916-729-2722"
        },
        {
            "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 CITRUS HEIGHTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "414-918-5443"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Sylvan Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Henry Brandom, PH.D, BCBA-D
• Brandt Group Homes Inc
• Shardiann Brannelly
• Taylor Bratsch
• Ella M Braun
• Brea Village Citrus Heights, LLC
• Anna Rose Brennan
• James E Brentt, PHD
• Eric Brewer
• Craig Alexander Brewick, REV. PH.D

• Assisted Living Facility in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.