Braybrook Residence Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11127 Issued in FL

Legal business name

BRAYBROOK RESIDENCE INC

Practice address

7532 State Road 52
Hudson, FL 34667-6715

Phone

(727) 863-3580

Fax

(727) 869-2741

NPI assigned

May 6, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Eunice Ann Livingston

Title

President

Phone

(727) 863-3580

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1760892277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7532 STATE ROAD 52",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676715",
            "telephone_number": "727-863-3580",
            "fax_number": "727-869-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7532 STATE ROAD 52",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676715",
            "telephone_number": "727-863-3580",
            "fax_number": "727-869-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAYBROOK RESIDENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-863-3580",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Hudson, FL
• Providers in Hudson, 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 6, 2014; 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.