Brentwood Post Acute LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BRENTWOOD POST ACUTE LLC

Doing business as

Brentwood Post Acute

Practice address

1795 Walnut St
Red Bluff, CA 96080-3645

Phone

(530) 527-2046

NPI assigned

Jan 29, 2016

Last updated

Jan 29, 2016By 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

David Johnson

Title

Ceo

Phone

(888) 309-0022

Specialties & licenses 1

Addresses

Other names 1

• Brentwood Post Acute Doing business as

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1760840284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N PUENTE ST",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928212804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 WALNUT ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960803645",
            "telephone_number": "530-527-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD POST ACUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-309-0022"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brentwood Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Layne Boomgarden, RDH
• Karen A Borm, RN
• Richard Lee Bradley
• Bianca Bradshaw, PHARM.D.
• Ashley Brashear, LVN II
• Brentwood Skilled Nursing Center, Inc. (Brentwood Skilled Nursing & Rehabilitation Center)
• Melody Brewer, MSW
• Jennifer L Brinkerhoff
• Bailey Michelle Britt
• Carson James Brown

• Skilled Nursing Facility in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.