Brooks Supported Living, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BROOKS SUPPORTED LIVING, INC.

Practice address

675 Brook Holw
Gahanna, OH 43230-6259

Phone

(614) 861-1514

Fax

(614) 861-8198

NPI assigned

Dec 28, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Tara Kay Perfect

Title

HR Coordinator

Phone

(614) 861-1514

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1972190791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 BROOK HOLW",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306259",
            "telephone_number": "614-861-1514",
            "fax_number": "614-861-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 BROOK HOLW",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306259",
            "telephone_number": "614-861-1514",
            "fax_number": "614-861-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS SUPPORTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "PERFECT",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "HR COORDINATOR",
        "authorized_official_telephone_number": "614-861-1514",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa J Braverman, MD
• Bright Star Home Health Care LLC
• Brighter Day Health LLC
• Gabrielle Alexandra Brokamp, MD
• Brooke H. Buller, DDS, LLC
• Jessica Brooks
• Alexa Jade Brown, PA-C
• Ashley Brown, OTR/L
• Cherelle Brown, BCABA
• Dawnara Shaniece Brown, LPN

• In Home Supportive Care Agency in Gahanna, OH
• Providers in Gahanna, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.