Brookdale Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BROOKDALE HOSPICE, LLC

Doing business as

Brookdale Hospice

Practice address

32300 Northwestern Hwy Ste 125
Farmington Hills, MI 48334-1501

Phone

(248) 727-2323

NPI assigned

Nov 5, 2018

Last updated

May 12, 2020By 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

Donnis M. Evans

Title

Manager, Regulatory Practices

Phone

(615) 564-8181

Specialties & licenses 1

Addresses

Other names 1

• Brookdale Hospice Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Arc Therapy Services, LLC

  dba Medical City Hospice & Family Care

  • Community Based Hospice Care Agency
  • Irving, TX
  • NPI 1891049995

  Member Of

  NPD member

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Health at Home Hospice - Detroit, LLC

  dba Caretenders Hospice

  • Community Based Hospice Care Agency
  • Farmington Hills, MI
  • NPI 1013584945

  Sold to, 2021-06-22

  CMS change of ownership

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1801364138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WESTWOOD PL",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275021",
            "telephone_number": "615-564-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32300 NORTHWESTERN HWY STE 125",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341501",
            "telephone_number": "248-727-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DONNIS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER, REGULATORY PRACTICES",
        "authorized_official_telephone_number": "615-564-8181"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookdale Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Broner
• Ashleigh Bronkema
• Bailee Bronson
• Zora Bronson
• Tehya Brook
• Brookdale Senior Living Communities, Inc. (Brookdale Farmington Hills North I)
• Brookdale Senior Living Communities, Inc. (Brookdale Farmington Hills North II)
• Francesca Brookins
• Gerald Brookins
• Michelle Brookins

• Community Based Hospice Care Agency in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.