Bravo Care of Edwardsville Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BRAVO CARE OF EDWARDSVILLE INC

Doing business as

Rosewood Care Center of Edwardsville

Practice address

6277 Center Grove Rd
Edwardsville, IL 62025-3309

Phone

(618) 659-0605

NPI assigned

Sep 26, 2007

Last updated

Dec 1, 2016By 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

Aleksandra Savic

Title

Ar Director

Phone

(314) 994-9070

Specialties & licenses 2

Addresses

Other names 1

• Rosewood Care Center of Edwardsville 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": "1841487501",
    "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",
            "telephone_number": "314-994-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6277 CENTER GROVE RD",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253309",
            "telephone_number": "618-659-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO CARE OF EDWARDSVILLE 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": "NU",
            "license": null,
            "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 Edwardsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Bozsa, OD
• Brad McMillin, Inc (Beltone Hearing Aid Service)
• Marie Alena Bradley, RN
• Nicole Brainin
• Lukas Dean Brase
• Elizabeth Marie Bray, MS, CCC-SLP
• Harvey Breckner, D.M.D., M.S.
• Carl David Brickman, DDS MS
• Rebecca Bristow, PHARM.D.
• Abigail Kirstie Brohammer

• Skilled Nursing Facility in Edwardsville, IL
• Providers in Edwardsville, 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.