BROOKDALE HOSPICE, LLC (NPI# 1033687371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033687371 |
| Entity Type | Organization |
| Organization Name | BROOKDALE HOSPICE, LLC |
| Other Organization Name | BROOKDALE HOSPICE |
| Practice Address |
29757 Sw Boones Ferry Rd Ste B Wilsonville OR 97070-7202 |
| Mailing Address |
111 Westwood Pl Brentwood TN 37027-5021 |
| Practice Telephone | 5035709766 |
| Mailing Telephone | 6155648034 |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2020-05-14 |
| Authorized Official Name | DONNIS M. EVANS (MANAGER, REGULATORY PRACTICES) |
| Authorized Official Telephone | 6155648181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Brookdale Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538715370 | Brookdale Hospice, LLC | Hospice Care, Community Based | 555 University Ave Ste 230, Sacramento, CA 95825-6505 | 2019-08-16 |
| 1801364138 | Brookdale Hospice, LLC | Hospice Care, Community Based | 32300 Northwestern Hwy Ste 125, Farmington Hills, MI 48334-1501 | 2018-11-05 |
| 1730615063 | Brookdale Hospice, LLC | Hospice Care, Community Based | 3701 Algonquin Rd Ste 100, Rolling Meadows, IL 60008-3115 | 2017-05-05 |
| 1093102105 | Brookdale Hospice, LLC | Hospice Care, Community Based | 9100 Purdue Rd Ste 100, Indianapolis, IN 46268-1190 | 2015-04-16 |
| 1629466875 | Brookdale Hospice, LLC | Hospice Care, Community Based | 701 Kimberly, Ste 120, Placentia, CA 92870-6345 | 2014-12-22 |
| 1366873309 | Brookdale Hospice, LLC | Hospice Care, Community Based | 123 Indiana Ave, Ste C, Salina, KS 67401-3213 | 2013-12-02 |
| 1548518608 | Brookdale Hospice, LLC | Hospice Care, Community Based | 15425 North Fwy Ste 160, Houston, TX 77090 | 2012-08-21 |
| 1366938060 | Brookdale Hospice, LLC | Hospice Care, Community Based | 5674 Stoneridge Dr Ste 206, Pleasanton, CA 94588-8532 | 2018-07-05 |
| 1407274723 | Brookdale Hospice, LLC | Hospice Care, Community Based | 25 Woods Lake Rd, Ste 405, Greenville, SC 29607-6125 | 2014-04-03 |
| 1316365638 | Brookdale Hospice, LLC | Hospice Care, Community Based | 810 Dutch Square Blvd, Ste 231, Columbia, SC 29210-7318 | 2014-04-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BROOKDALE HOSPICE, LLC | 111 Westwood Pl Ste 400, Brentwood, TN 37027 |
| Indiana Business Entities | BROOKDALE HOSPICE, LLC | 111 Westwood Pl, Ste 400, Brentwood, TN 37027 |
| Street Address |
29757 SW BOONES FERRY RD STE B |
| City | WILSONVILLE |
| State | OR |
| Zip Code | 97070-7202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995896 | Rosalyn Sharon Mckinney | Technician | 7798 Sw Vlahos Dr, Wilsonville, OR 97070 | 2019-10-29 |
| 1275027393 | Oregon Regeneration Stem Cell Medical Center, LLC | Chiropractor | 29781 Sw Town Center Loop, Wilsonville, OR 97070 | 2018-06-21 |
| 1073050472 | Kirstin Marie Lauritzen | Chiropractor | 25589 Sw Canyon Creek Rd Ste 100, Wilsonville, OR 97070 | 2017-01-23 |
| 1932642220 | Nicole Galasso | Occupational Therapy Assistant | 25117 Sw Parkway Avenue Suite D, Wilsonville, OR 97070 | 2016-11-18 |
| 1508317512 | Justin Langlais | Naturopath | 25195 Sw Parkway Ave Ste 210, Wilsonville, OR 97070 | 2016-10-14 |
| 1518411149 | Stephanie Tran | Optometrist | 29250 Town Center Loop W, Wilsonville, OR 97070 | 2016-08-11 |
| 1346610607 | Rachel Ziegler | Occupational Therapy Assistant | 25117 Sw Parkway Ave Suite D, Willsonville, OR 97070 | 2015-09-30 |
| 1992184238 | Michelle Miranda | Counselor | 30150 Sw Parkway Ave Ste 300, Wilsonville, OR 97070 | 2015-05-19 |
| 1609275007 | Ryan Bridges | Dentist | 30040 Sw Boones Ferry Rd Ste 20, Wilsonville, OR 97070 | 2014-08-21 |
| 1649604018 | Jason Russell James | Physical Therapist | 29174 Sw Town Center Loop W # 202b, Wilsonville, OR 97070 | 2013-08-21 |
| Find all providers in zip 97070 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463274 | Signature Hospice Oregon Coast, LLC | Hospice Care, Community Based | 820 Se Highway 101 Ste F, Lincoln City, OR 97367-2773 | 2020-10-06 |
| 1043817000 | Signature Hospice Eugene, LLC | Hospice Care, Community Based | 2620 River Rd Ste 300, Eugene, OR 97404-2046 | 2020-10-02 |
| 1831709567 | Graciouscare Hospice, LLC | Hospice Care, Community Based | 16500 Sw Satterberg Rd, Beaverton, OR 97007-6584 | 2020-08-07 |
| 1821607490 | Brighton Hospice Eugene, LLC | Hospice Care, Community Based | 1600 Valley River Dr Ste 220, Eugene, OR 97401-2160 | 2020-07-29 |
| 1851911648 | Signature Hospice Bend, LLC | Hospice Care, Community Based | 454 Ne Revere Ave, Bend, OR 97701-4019 | 2020-04-21 |
| 1902453681 | Sojourn Hospice and Palliative Care-portland, LLC | Hospice Care, Community Based | 16083 Sw Upper Boones Ferry Rd Ste 100, Portland, OR 97224-7736 | 2019-08-19 |
| 1649826702 | Tenderly Hospice, LLC | Hospice Care, Community Based | 9500 Sw Barbur Blvd Ste 260, Portland, OR 97219-5466 | 2019-08-14 |
| 1922592427 | Excel Hospice and Palliative Care LLC | Hospice Care, Community Based | 10742 Se Highway 212, Clackamas, OR 97015-9144 | 2018-06-18 |
| 1801313200 | Serenity Palliative Care and Hospice, LLC | Hospice Care, Community Based | 1020 Green Acres Rd Ste 12, Eugene, OR 97408-1715 | 2017-08-25 |
| 1467909440 | Inspiring Hospice Partners of Oregon LLC | Hospice Care, Community Based | 2621 Wasco St, Hood River, OR 97031-1096 | 2016-09-07 |
| Find all providers with the same taxonomy | ||||
| City | WILSONVILLE |
| Zip Code | 97070 |
Please comment or provide details below to improve the information on BROOKDALE HOSPICE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.