Brookwood Gardens Convalescent Center Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1064096 Issued in FL

Legal business name

BROOKWOOD GARDENS CONVALESCENT CENTER OPERATIONS LLC

Practice address

1990 S Canal Dr
Homestead, FL 33035-1046

Phone

(305) 246-1200

Fax

(305) 246-9570

NPI assigned

Oct 11, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Edwin Coelho, NHA

Title

Administrator

Phone

(305) 246-1200

Specialties & licenses 1

Addresses

Other names 1

• Brookwood Gardens Rehabilitation & Nursing Center Doing business as

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912995200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 S CANAL DR",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330351046",
            "telephone_number": "305-246-1200",
            "fax_number": "305-246-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 S CANAL DR",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330351046",
            "telephone_number": "305-246-1200",
            "fax_number": "305-246-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKWOOD GARDENS CONVALESCENT CENTER OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COELHO",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-246-1200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1064096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookwood Gardens Rehabilitation & Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yasary Brizuela
• Isis M Broceta Rosales
• Tara Broder
• Lila Brodie, DNP, APRN, FNP-BC
• Velma Ruth Brooks, MSW
• Brookwood Gardens Rehabilitation and Nursing Center LLC
• Brown Consults LLC
• Collette Brown
• Shereeka Brutis
• Gabriel Brutus

• All providers in Homestead, FL
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.