Breath of Life Adult Day SVC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

BREATH OF LIFE ADULT DAY SVC

Practice address

200 Buffalo Hills LN
Brainerd, MN 56401-4555

Phone

(218) 822-3296

Fax

(218) 454-0413

NPI assigned

May 21, 2019

Last updated

Feb 1, 2023By 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

Ms. Scarlett Grace Langenfeld

Title

Executive Director

Phone

(218) 822-3296

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1770140196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BUFFALO HILLS LN",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564014555",
            "telephone_number": "218-822-3296",
            "fax_number": "218-454-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BUFFALO HILLS LN",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564014555",
            "telephone_number": "218-822-3296",
            "fax_number": "218-454-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATH OF LIFE ADULT DAY SVC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "LANGENFELD",
        "authorized_official_first_name": "SCARLETT",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-822-3296",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brainerd State Hospital
• Jessica R Brandl, PA
• Samuel M Brandl, CRNA
• Colleen Bratney
• Stacy Lynette Brazier, M.D.
• Blaine Anthony Brecht, MD
• Susan Carol Brennan, LMFT
• Michael J Brickner, MD
• Bridges to Home Health Care
• Brighter Horizons Adult Day Center

• Adult Day Care Clinic/Center in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Adult Day Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.