Brea Emeritus, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

BREA EMERITUS, LLC

Doing business as

Court at Overland Park

Practice address

11000 Oakmont St
Overland Park, KS 66210-1100

Phone

(913) 491-1144

NPI assigned

May 9, 2008

Organization subpart

Yes

Parent organization

BREA EMERITUS, LLCAs reported in NPPES

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

Authorized official

Name

Noelle Diaz Bickel

Title

Licensing Specialist

Phone

(206) 298-2909

Specialties & licenses 1

Addresses

Other names 1

• Court at Overland Park Doing business as

Tax ID family

Emeritus Properties NGH LLC236 organizations share this tax ID, including this one

Part of

Brea Charlotte LLC

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Emeritus Corporation

  • Assisted Living Facility
  • Hutchinson, KS
  • NPI 1851512099
  NPD tax ID

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962679910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELLIOTT AVE",
            "address_2": "SUITE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211032",
            "telephone_number": "913-491-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 OAKMONT ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101100",
            "telephone_number": "913-491-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREA EMERITUS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BREA EMERITUS, LLC",
        "enumeration_date": "2008-05-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BICKEL",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_middle_name": "DIAZ",
        "authorized_official_title_or_position": "LICENSING SPECIALIST",
        "authorized_official_telephone_number": "206-298-2909"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Court at Overland Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David E Braverman, MD
• Ashley Bravo
• Amy Bray
• Anne Bray, MD
• Jack G Bray, MD
• Breaking Barriers KC LLC
• Breathe, LLC
• Kaitlyn Breeden, BCBA
• Laura N Breitberg, LSCSW LCSW
• Thomas Patrick Bremyer, R.PH.

• Alzheimer Center (Dementia Center) in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Alzheimer Center (Dementia Center) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.