Barton House of Brevard, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12190 Issued in FL

Legal business name

BARTON HOUSE OF BREVARD, INC.

Practice address

571 Degroodt Rd SW
Palm Bay, FL 32908-7420

Phone

(321) 368-1064

Fax

(321) 216-9274

NPI assigned

May 24, 2012

Last updated

May 24, 2012By 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

Mrs. Lisa Marie Jean-Pierre

Title

Owner/Administrator

Phone

(321) 368-1064

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1801156716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 DEGROODT RD SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329087420",
            "telephone_number": "321-368-1064",
            "fax_number": "321-216-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 DEGROODT RD SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329087420",
            "telephone_number": "321-368-1064",
            "fax_number": "321-216-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTON HOUSE OF BREVARD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "JEAN-PIERRE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "321-368-1064",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Bandy
• Richard Neil Baney, MD
• Nenar Barazi, DMD
• Luis J Barral
• Mary Rose Baes Barrios-Banal, M.D.
• Rahila Amjad Bashir, LMHC
• Tracy Kilian Battle, PTA
• H Robert Bauman II, D.V.M.
• Bayside Dental Care LLC
• Bayside Family Counseling LLC

• Assisted Living Facility in Palm Bay, FL
• Providers in Palm Bay, 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 24, 2012; 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.