Braybrook Residence Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRAYBROOK RESIDENCE ALF LLC

Practice address

7532 State Road 52
Hudson, FL 34667-6715

Phone

(727) 863-3580

NPI assigned

May 24, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Susanne Wamba

Title

Administrator

Phone

(727) 543-8109

Specialties & licenses 1

Addresses

Other names 1

• Braybrook ALF Doing business as

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1992544209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3087 SUNCOAST BLEND DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335562780",
            "telephone_number": "727-543-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7532 STATE ROAD 52",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676715",
            "telephone_number": "727-863-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAYBROOK RESIDENCE ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "WAMBA",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-543-8109",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Braybrook ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Levi Bowles III, M.S. CCC-SLP
• Julie Boyle, BCBA, ITDS
• Brain and Spine Neuroscience Institute, LLC
• Abigail Grace Braudis, LCSW
• Braybrook Assisted Living
• Braybrook Residence Inc
• Erika Brazis, PA
• Carrie Brendel
• Loretta L Brestan, MD
• Danya Isabelle Briefer, PT, DPT

• Assisted Living Facility in Hudson, FL
• Providers in Hudson, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.