Organization Active NPI

BKD Clare Bridge Place Brookfield, LLC

Doing business as Brookdale Brookfield MC

  • Assisted Living Facility
  • Brookfield, WI
National Provider Identifier
1760884167
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BKD CLARE BRIDGE PLACE BROOKFIELD, LLC
Doing business as
Brookdale Brookfield MC
Practice address
685 Woelfel Rd
Brookfield, WI 53045-2906
Phone
(262) 754-2761
NPI assigned
Sep 17, 2014
Last updated
Jun 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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
(615) 221-2250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

685 Woelfel Rd
Brookfield, WI 53045-2906

Mailing address

685 Woelfel Rd
Brookfield, WI 53045-2906

Other names 1

  • Brookdale Brookfield MC Doing business as

National Provider Directory

National Provider Directory

Locations

685 Woelfel Rd
Brookfield, WI 53045
Phone (262) 754-2761

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1760884167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 WOELFEL RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 WOELFEL RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452906",
            "telephone_number": "262-754-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BKD CLARE BRIDGE PLACE BROOKFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "615-221-2250"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Brookfield MC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.