Bravo Care of Joliet Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1849321 Issued in IL

Legal business name

BRAVO CARE OF JOLIET INC

Practice address

3401 Hennepin Dr
Joliet, IL 60431-1080

Phone

(815) 436-5900

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Aleksandra Savic

Title

Ar Director

Phone

(314) 994-9070

Specialties & licenses 2

Addresses

Other names 1

• Rosewood Care Center of Joliet Doing business as

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1831386598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 BORMAN DR STE 315",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 HENNEPIN DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604311080",
            "telephone_number": "815-436-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO CARE OF JOLIET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "SAVIC",
        "authorized_official_first_name": "ALEKSANDRA",
        "authorized_official_title_or_position": "AR DIRECTOR",
        "authorized_official_telephone_number": "314-994-9070"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1849321",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosewood Care Center of Joliet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Demitrius Brackett, OWNER/DO
• Kim Katherine Bradley
• Caitlin Bragg
• Andrew Bramer, PA-C
• Julie Branchaw, LPC
• Breakthrough Wellness Centre
• Breck Tiernan PC
• Joshua Robert Brehn, B,S,
• Heather Brenza
• Kristopher Bridgeman, PA

• Skilled Nursing Facility in Joliet, IL
• Providers in Joliet, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.