Brunswick Community LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRUNSWICK COMMUNITY LLC

Practice address

5220 Ocean Hwy W
Shallotte, NC 28470-4006

Phone

(910) 859-9293

NPI assigned

Mar 6, 2020

Organization subpart

No

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

Authorized official

Name

Hugh B Campbell III, CPA

Title

Manager

Phone

(910) 228-2050

Specialties & licenses 1

Addresses

Other names 1

• Coastal Pointe Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1891320115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 OCEAN HWY W",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704006",
            "telephone_number": "910-859-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 OCEAN HWY W",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704006",
            "telephone_number": "910-859-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK COMMUNITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "910-228-2050",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Pointe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Brooks, LCSWA, LCAS-A
• Cindy J Brown
• Lauren Moriah Brown
• Mackenzie Laurel Brown
• Brunswick Academy of Total Learning
• Brunswick Gericare
• Kimberly Sue Ellen Bullard, FNP-BC
• Tanya Faye Bush, APRN
• Jada McGirt Butler, FNP
• Michael Louis Cahn, M.D., PA

• Assisted Living Facility in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.