Bravo Care of St Charles Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1854123 Issued in IL

Legal business name

BRAVO CARE OF ST CHARLES INC

Practice address

850 Dunham Rd
St Charles, IL 60174-1494

Phone

(630) 443-6146

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 St Charles 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": "1912194671",
    "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": "850 DUNHAM RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741494",
            "telephone_number": "630-443-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO CARE OF ST CHARLES 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": "1854123",
            "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 St Charles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Michael Bradley, MD
• Daniel J Brady, D.D.S.
• Nancy Meredith Brandes, LCPC
• Teresa Brandt, MSW
• Brannick Clinic of Natural Medicine, S.C.
• Meagan Brayton, BCBA
• Justin Brendel
• Courtney Lynn Brendle, BCBA
• Maureen Brenner-Mitchell
• Krista G Brennfoerder, MA, LCPC

• Skilled Nursing Facility in St Charles, IL
• Providers in St Charles, 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.