Organization Active NPI

Brookfield, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Glen Allen, VA
National Provider Identifier
1760601975
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
0904006443 Issued in VA
Legal business name
BROOKFIELD, INC.
Practice address
10187 Brook Rd
Glen Allen, VA 23059-6508
Phone
(804) 266-7631
Fax
(804) 264-6127
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Timothy M Reading
Title
Executive Director
Phone
(804) 266-7631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 0904006443 VA Primary

Addresses

Primary practice location

10187 Brook Rd
Glen Allen, VA 23059-6508

Mailing address

10187 Brook Rd
Glen Allen, VA 23059-6508
Phone (804) 266-7631

National Provider Directory

National Provider Directory
Tax ID family
Brookfield Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760601975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10187 BROOK RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230596508",
            "telephone_number": "804-266-7631",
            "fax_number": "804-264-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10187 BROOK RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230596508",
            "telephone_number": "804-266-7631",
            "fax_number": "804-264-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKFIELD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "READING",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-266-7631",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": "0904006443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.