Brookdale South Park

LBN: Brea Charlotte, Llc
Brookdale South Park is an health care organization with primary practice located at 5326 Park Rd , Charlotte NC 28209-3648. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center). Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) is the primary health care specialty. Brea Charlotte, Llc can be contacted via phone (704) 553-8700, or through Richardson, Bryan via phone (615) 564-8131.

Contact Information

Primary practice address
5326 Park Rd Charlotte NC 28209-3648
Phone: (704) 553-8700
Fax: (704) 553-8922
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Bryan
Phone: (615) 564-8131

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL-060-085 North Carolina
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X HAL-060-085 North Carolina

Profile Details

NPI number 1306992664
LBN Legal business name Brea Charlotte, Llc
DBA Doing business as Brookdale South Park
Authorized official Richardson, Bryan
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated May 16th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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