Broadmoor Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9190 Issued in FL

Legal business name

BROADMOOR OPERATIONS, LLC

Practice address

200 Dixieland Dr
Fort Pierce, FL 34982-6706

Phone

(772) 468-7235

NPI assigned

May 12, 2008

Organization subpart

No

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

Authorized official

Name

Roni Zaletel

Title

Ceo

Phone

(772) 468-7235

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1750558441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DIXIELAND DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349826706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DIXIELAND DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349826706",
            "telephone_number": "772-468-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADMOOR OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "ZALETEL",
        "authorized_official_first_name": "RONI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-468-7235"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Brisard, RN
• Tracy Britcher-Speck, ARNP
• Brite Bridges of the Treasure Coast, Inc.
• Jose Carlos Brito Pita, RBT
• Broadmoor Alzheimer'S & Memory Impairment Center of St Lucie County, I
• Holly Ann Brolmann
• Karaya Brooks, RN, ARNP
• Latorrie Brooks, LPN
• Miranda Brooks, OTR/L
• Jennifer Brown Rios

• Assisted Living Facility in Fort Pierce, FL
• Providers in Fort Pierce, 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 May 12, 2008; 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.