BROOKDALE HOSPICE, LLC (NPI# 1366938060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366938060 |
| Entity Type | Organization |
| Organization Name | BROOKDALE HOSPICE, LLC |
| Other Organization Name | BROOKDALE HOSPICE |
| Practice Address |
5674 Stoneridge Dr Ste 206 Pleasanton CA 94588-8532 |
| Mailing Address |
111 Westwood Pl Brentwood TN 37027-5021 |
| Practice Telephone | 9522248709 |
| Mailing Telephone | 6155648034 |
| Enumeration Date | 2018-07-05 |
| 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 |
| 1033687371 | Brookdale Hospice, LLC | Hospice Care, Community Based | 29757 Sw Boones Ferry Rd Ste B, Wilsonville, OR 97070-7202 | 2018-11-05 |
| 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 |
| 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 |
5674 STONERIDGE DR STE 206 |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94588-8532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558662957 | Patrick Ryan Coad | Community Health Worker | 5674 Stoneridge Dr Ste 206, Pleasanton, CA 94588-8532 | 2010-11-16 |
| 1346542685 | Aaron Ortiz | Community Health Worker | 5674 Stoneridge Dr Ste 206, Pleasanton, CA 94588-8532 | 2010-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1619519691 | Vanessa Baldwin | Behavior Technician | 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 | 2019-10-11 |
| 1184187783 | Amanda Singh | Behavior Technician | 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 | 2019-04-10 |
| 1891262192 | Virginia Zamora | Behavior Technician | 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 | 2018-10-25 |
| 1891275368 | Ixchel N Baltazar | Behavioral Analyst | 520 Stoneridge Mall Rd, Ste. 205, Pleasanton, CA 94588 | 2018-08-15 |
| 1386149409 | Monique Imanii Brown | Behavioral Analyst | 511 Johnson Drive, Pleasanton, CA 94588 | 2018-03-29 |
| 1922509710 | Cierra Marie Barton | Behavioral Analyst | 5820 Stoneridge Mall Road, Suite 205, Pleasanton, CA 94588 | 2018-02-27 |
| 1851800056 | Delisa Simon | Nurse Practitioner | 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588 | 2017-09-20 |
| 1831611409 | One Health Hospice, Inc. | Hospice Care, Community Based | 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 | 2017-07-14 |
| 1114478641 | Carlos Gavino | Behavior Technician | 5820 Stoneridge Mall Dr, Suite 205, Pleasanton, CA 94588 | 2016-10-19 |
| Find all providers in zip 94588 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456082 | A Plus Prime Care Hospice Inc | Hospice Care, Community Based | 4625 1st St Ste 230, Pleasanton, CA 94566-7169 | 2020-08-06 |
| 1477163798 | Anodyne Hospice Care LLC | Hospice Care, Community Based | 90 Mission Dr Ste 2, Pleasanton, CA 94566-7655 | 2020-08-01 |
| 1972126373 | Zenith Healthcare Inc | Hospice Care, Community Based | 5994 W Las Positas Blvd Ste 119, Pleasanton, CA 94588-8525 | 2020-05-20 |
| 1972086148 | Alliance Hospice Care | Hospice Care, Community Based | 5976 W Las Positas Blvd Ste 118, Pleasanton, CA 94588-8506 | 2018-09-12 |
| 1831611409 | One Health Hospice, Inc. | Hospice Care, Community Based | 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 | 2017-07-14 |
| 1922532126 | Compassionate Home Health & Hospice Inc | Hospice Care, Community Based | 5820 Stoneridge Mall Rd Ste 310b, Pleasanton, CA 94588-3274 | 2017-04-13 |
| 1194107730 | A Plus Hospice, Inc. | Hospice Care, Community Based | 4615 1st St, Suite 230, Pleasanton, CA 94566-7387 | 2015-06-19 |
| 1639576705 | G&g Partners, Inc. | Hospice Care, Community Based | 2178-c Rheem Drive, Pleasanton, CA 94588 | 2014-12-04 |
| 1467859900 | Continuum Care Hospice LLC | Hospice Care, Community Based | 5994 W Las Positas Blvd Ste 221, Pleasanton, CA 94588-8509 | 2014-11-27 |
| 1962813519 | Lifeguard Hospice Care Inc | Hospice Care, Community Based | 5976 W Las Positas Blvd Ste 104, Pleasanton, CA 94588-8506 | 2014-05-16 |
| Find all providers in PLEASANTON | ||||
| City | PLEASANTON |
| Zip Code | 94588 |
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.