Brookfield Retirement Center, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL043010 Issued in NC

Legal business name

BROOKFIELD RETIREMENT CENTER, INC.

Practice address

2041 NC 210 N
Lillington, NC 27546-7802

Phone

(910) 893-8181

Fax

(910) 893-3612

NPI assigned

Mar 14, 2007

Last updated

Aug 22, 2020By 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

Mrs. Janet M Boone

Title

Owner Administrator

Phone

(910) 893-8181

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962535096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 NC 210 N",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275467802",
            "telephone_number": "910-893-8181",
            "fax_number": "910-893-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 NC 210 N",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275467802",
            "telephone_number": "910-893-8181",
            "fax_number": "910-893-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKFIELD RETIREMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "910-893-8181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL043010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801355",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Lillington, NC
• Providers in Lillington, 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 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.