Eastbrooke Gardens, Inc.

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

AL5355 Issued in FL

Legal business name

EASTBROOKE GARDENS, INC.

Practice address

201 N. Sunset Drive
Casselberry, FL 32707

Phone

(407) 699-5002

Fax

(407) 699-4826

NPI assigned

Jan 29, 2008

Last updated

Mar 2, 2009By 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

Mr. Douglas Matthew Klinowski

Title

President

Phone

(407) 699-5002

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1770760027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N. SUNSET DRIVE",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "32707",
            "telephone_number": "407-699-5002",
            "fax_number": "407-699-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N. SUNSET DRIVE",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "32707",
            "telephone_number": "407-699-5002",
            "fax_number": "407-699-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTBROOKE GARDENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "KLINOWSKI",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-699-5002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5355",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "FL",
            "license": "AL5355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Deep Agee PA
• Dr. Mohan Saoji
• Lynda Lee Dubroff, LCSW
• Eric James Dullmeyer, M.P.T.
• Shanay T Duncan, APRN, FNP-BC
• Eli Porth DO PA
• Shannon Rose Ellis, RN, MSN, FNP-C
• Angelia Marie Ellison, L.M.T.
• Amr Elzeidy, PT
• Emil F.M. Felski, D.O., P. a.

• Alzheimer Center (Dementia Center) in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Alzheimer Center (Dementia Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.