Brookdale Destin

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BROOKDALE DESTIN

Doing business as

Brookdale Destin

Practice address

2400 Crystal Cove LN
Destin, FL 32550-4872

Phone

(850) 267-1600

NPI assigned

Aug 7, 2024

Last updated

Aug 7, 2024By 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

Anna Munoz

Title

Assistant Secretary

Phone

(414) 918-5443

Specialties & licenses 1

Addresses

Other names 1

• Brookdale Destin Doing business as

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1770313223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CRYSTAL COVE LN",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325504872",
            "telephone_number": "850-267-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CRYSTAL COVE LN",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325504872",
            "telephone_number": "850-267-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE DESTIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "414-918-5443"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Destin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Braincare Performance Center - Destin LLC
• Jordynn Bree, BCABA
• Callee Ann Breland, DPT
• Bridge Mountain Emergency Physicians LLC
• Brilliant Minds
• Randell Rudell Brooke, PHD
• Glenda Dianne Brooks
• Linda G Buckland, LMHC CCMHC NCC
• Brooke Budney, LCSW
• Samuel A Budnyk, M.D.

• Assisted Living Facility in Destin, FL
• Providers in Destin, 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 Aug 7, 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.