Brookhurst Residential, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

306004415 Issued in CA

Legal business name

BROOKHURST RESIDENTIAL, INC.

Doing business as

Seaside Terrace Retirement Community

Practice address

9925 La Alameda Ave
Fountain Valley, CA 92708-3548

Phone

(714) 962-5531

Fax

(818) 638-5769

NPI assigned

Aug 4, 2014

Organization subpart

No

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

Authorized official

Name

Karolina Maria Fil

Title

Coo

Phone

(714) 962-5531

Specialties & licenses 1

Addresses

Other names 1

• Seaside Terrace Retirement Community Doing business as

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1932518909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 LA ALAMEDA AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083548",
            "telephone_number": "714-962-5531",
            "fax_number": "818-638-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9925 LA ALAMEDA AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083548",
            "telephone_number": "714-962-5531",
            "fax_number": "818-638-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHURST RESIDENTIAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "FIL",
        "authorized_official_first_name": "KAROLINA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "714-962-5531"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "306004415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seaside Terrace Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elivet Brito Ruiz-Ramos, M.S.
• Prudence Armandine Broadwell, LAC
• Benjamin Edward Brodie, CMT, NMT
• Suzanne Brodsly, LCSW
• Mark A. Bronstein, M.D.
• Valery Brouwer, MD
• Gregory Brown, D.C.
• Maddisen Casandra Brown
• Tiara Brown
• Bruce F. Friedman, M.D., Inc.

• Assisted Living Facility in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.