Organization Active NPI

Bry-Whit Enterprises LLC

Doing business as Platinum Oaks ALF

  • Assisted Living Facility
  • Melbourne, FL
National Provider Identifier
1790453124
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BRY-WHIT ENTERPRISES LLC
Doing business as
Platinum Oaks ALF
Practice address
3610 Manassas Ave
Melbourne, FL 32934-8351
Phone
(954) 478-8380
NPI assigned
Aug 31, 2021
Last updated
Aug 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Paul Whitmore
Title
Chief Executive Manager
Phone
(954) 478-8380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3610 Manassas Ave
Melbourne, FL 32934-8351

Mailing address

2720 Snapdragon Dr NW
Palm Bay, FL 32907-7224
Phone (954) 478-8380

Other names 1

  • Platinum Oaks ALF Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1790453124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 SNAPDRAGON DR NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329077224",
            "telephone_number": "954-478-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 MANASSAS AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329348351",
            "telephone_number": "954-478-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRY-WHIT ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "WHITMORE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE MANAGER",
        "authorized_official_telephone_number": "954-478-8380"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Oaks ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.