BRECK HOME RESIDENTIAL CARE CENTER, LLC (NPI# 1992004071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992004071 |
| Entity Type | Organization |
| Organization Name | BRECK HOME RESIDENTIAL CARE CENTER, LLC |
| Practice Address |
312 W 95th St Bloomington MN 55420-4311 |
| Practice Telephone | 6127028801 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |
| Authorized Official Name | JENNIFER MORGAN (OWNER/OPERATOR) |
| Authorized Official Telephone | 6127028801 |
| Authorized Official Credential | MS, RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 352080 | MN | Nursing & Custodial Care Facilities |
| Street Address |
312 W 95TH ST |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55420-4311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1720624810 | Sunshine Assisted Living Services LLC | Home Health | 9540 Columbus Ave S, Bloomington, MN 55420 | 2019-11-23 |
| 1417205246 | Jrb Holdings, LLC | Home Health | 9897 Lyndale Ave S, Bloomington, MN 55420 | 2012-08-28 |
| 1629223722 | Jennifer Jean Bormann | Audiologist | 8714 Lyndale Avenue South, Minneapolis, MN 55420 | 2008-11-18 |
| 1801055959 | Sarah J. Marsden | Speech-Language Pathologist | 900 W 94th St., Bloomington, MN 55420 | 2008-06-04 |
| 1699949784 | 1st Choice Care, Inc. | Home Health | 9035 Blaisdell Ave S, Bloomington, MN 55420 | 2008-04-18 |
| 1922295203 | Cornerstone Advocacy Service | Community/Behavioral Health | 1000 East 80th St, Bloomington, MN 55420 | 2007-10-01 |
| 1184769457 | Fairview Oxboro Pharmacy Mtm | Non-Pharmacy Dispensing Site | 600 W 98th Street, Bloomington, MN 55420 | 2007-02-21 |
| 1891831723 | A Caring Company, Inc. | In Home Supportive Care | 9001 East Bloomington Freeway, Sutie 145, Bloomington, MN 55420 | 2007-01-29 |
| 1134279318 | Jennifer Mary Connelly | Speech-Language Pathologist | 9001 E Bloomington Fwy Ste 141, Bloomington, MN 55420 | 2007-01-11 |
| Find all providers in zip 55420 | ||||
| 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 |
|---|---|---|---|---|
| 1881216430 | Prosper Home Health and Transportation | Assisted Living Facility | 10025 Colfax Ave S, Bloomington, MN 55431-3133 | 2020-05-16 |
| 1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
| 1154794089 | Residential Care At Nine Mile Creek | Assisted Living Facility | 10641 James Rd, Bloomington, MN 55431-4130 | 2015-10-30 |
| 1053737213 | Bloomington Bethany Senior Housing,inc | Assisted Living Facility | 6600 Auto Club Rd, Bloomington, MN 55438-2425 | 2014-03-12 |
| 1235470907 | Tealwood Management, LLC | Assisted Living Facility | 7400 W 109th St, Bloomington, MN 55438-2374 | 2013-03-06 |
| 1295008787 | Nine Mile Catered Living | Assisted Living Facility | 2301 Village Ln, Bloomington, MN 55431-5810 | 2012-02-15 |
| 1154628915 | The James Inc Assited Living | Assisted Living Facility | 4533 Normandale Highlands Dr, Bloomington, MN 55437-2310 | 2011-02-14 |
| 1861721169 | Metropolitan Living, LLC | Assisted Living Facility | 1400 W 100th St, Bloomington, MN 55431-3125 | 2009-12-15 |
| 1760618607 | Metropolitan Living, LLC | Assisted Living Facility | 9230 5th Ave S, Bloomington, MN 55420-3812 | 2009-06-05 |
| 1568613594 | Nervana's Caring Hands Inc. | Assisted Living Facility | 8719 Bloomington Ave, Bloomington, MN 55425-1923 | 2008-10-08 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55420 |
Please comment or provide details below to improve the information on BRECK HOME RESIDENTIAL CARE CENTER, 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.