Organization
BREA EAST MESA, LLC
Active
Other names
Brookdale Palmer Park
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
2850 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917
(480) 832-1300
(480) 638-0841
Mailing address
6737 W WASHINGTON ST STE 2300, MILWAUKEE, WI 53214-5650
(414) 918-5000
(206) 301-4500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
2305S9
CO
310400000X
Assisted Living Facility
Primary
68533250
CO
311500000X
Alzheimer Center (Dementia Center)
2305S9
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
PRIVATE
—
05
—
205629
—
CO
05
—
79559301
—
CO
Enumeration date
02/05/2008
Last updated
06/13/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us