BRASWELL MEDICAL CONSULTANTS INC (NPI# 1164904850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164904850 |
| Entity Type | Organization |
| Organization Name | BRASWELL MEDICAL CONSULTANTS INC |
| Other Organization Name | SANTA FE ASSISTED LIVING LP |
| Practice Address |
55425 Santa Fe Trl Yucca Valley CA 92284-3117 |
| Practice Telephone | 7603650887 |
| Practice Fax Number | 7603654156 |
| Mailing Telephone | 7603650887 |
| Mailing Fax Number | 7603654156 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | JAMES HAROLD BRASWELL (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9097953821 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 366404041 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Santa Fe Assisted Living LP | Doing Business As Name - Organization |
| Street Address |
55425 SANTA FE TRL |
| City | YUCCA VALLEY |
| State | CA |
| Zip Code | 92284-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821646746 | Dawn Irene Blue | Registered Nurse | 55887 Yucca Valley Trail, Yucca Valley, CA 92284 | 2019-09-04 |
| 1659838415 | Lifeline Marketing Group, LLC Kenneth M Folwell Sole Mbr | Genetic Counselor, MS | 57675 Twentynine Palms Hwy, Suite 102, Yucca Valley, CA 92284 | 2019-02-27 |
| 1790240026 | Rosenda Marie Quintero | Case Manager/Care Coordinator | 7281 Dumosa Avneue, Ste 4, Yucca Valley, CA 92284 | 2019-01-31 |
| 1740790617 | Robert Farrer | Pharmacist | 57701 Twentynine Palms Highway, Yucca Valley, CA 92284 | 2017-10-05 |
| 1881128981 | Louis James Medina | Case Manager/Care Coordinator | 58471 Twentynine Palms Hwy #102, Yucca Valley, CA 92284 | 2017-04-14 |
| 1003369620 | Hi -desert Memorial Health Care District | Clinic/Center | 57019 Yucca Trail Ste C, Yucca Valley, CA 92284 | 2016-08-01 |
| 1346639002 | Virginia Susan Mccann | Marriage & Family Therapist | 58945 Business Cernter Drive, Suite D, Yucca Valley, CA 92284 | 2015-01-20 |
| 1578964375 | Desert Oasis Healthcare | Clinic/Center | 57-840 29 Palms Hwy, Yucca Valley, CA 92284 | 2014-09-11 |
| 1306245113 | Katie Z Topper | Nurse Practitioner | 57402 Twentynine Palm Highway, Ste 1, Yucca Valley, CA 92284 | 2014-08-18 |
| 1215347307 | Sandip Patel | Pharmacist | 57701 Twentynine Palms Hwy, Yucca Valley, CA 92284 | 2014-04-29 |
| Find all providers in zip 92284 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891277471 | Angelic Mansions, LLC | Assisted Living Facility | 7585 Warren Vista Ave, Yucca Valley, CA 92284-3847 | 2018-08-30 |
| 1831415454 | Aaspen Village Care | Assisted Living Facility | 7645 Kickapoo Trl, Yucca Valley, CA 92284-3339 | 2010-04-08 |
| 1093038655 | Aaspen Village Care | Assisted Living Facility | 7633 Kickapoo Trl, Yucca Valley, CA 92284-3339 | 2010-03-10 |
| 1528381654 | Aaspen Village Care | Assisted Living Facility | 56524 Antelope Trl, Yucca Valley, CA 92284-2808 | 2010-03-03 |
| 1902129562 | Aaspen Village Care | Assisted Living Facility | 7633 Kickapoo Trl, Yucca Valley, CA 92284-3339 | 2010-03-10 |
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| 1821697434 | Global Regency Senior Care Services, LLC | Assisted Living Facility | 117 E 8th St, Long Beach, CA 90813-4397 | 2020-10-23 |
| 1689273419 | Pacifica Slo LLC | Assisted Living Facility | 475 Marsh St, San Luis Obispo, CA 93401-6108 | 2020-10-22 |
| 1871192682 | Pacifica Sfo LLC | Assisted Living Facility | 624 Laguna St, San Francisco, CA 94102-4217 | 2020-10-22 |
| 1528667367 | Pacifica Sierra Vista Lp | Assisted Living Facility | 13815 Rodeo Dr, Victorville, CA 92395-5600 | 2020-10-22 |
| 1992304737 | West Lyons Lp | Assisted Living Facility | 24305 Lyons Ave, Newhall, CA 91321-2344 | 2020-10-22 |
| 1619576451 | Pacifica Orange County LLC | Assisted Living Facility | 2619 Orange Ave, Costa Mesa, CA 92627-4630 | 2020-10-22 |
| 1720687551 | P San Leandro Lp | Assisted Living Facility | 348 W Juana Ave, San Leandro, CA 94577-3661 | 2020-10-22 |
| 1952900730 | Pacifica Daly LLC | Assisted Living Facility | 995 E Market St, Daly City, CA 94014-2168 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | YUCCA VALLEY |
| Zip Code | 92284 |
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| 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.