Organization
EMERITUS PROPERTIES NGH, LLC
Active
Other names
Brookdale Melbourne
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
1765 WEST HIBISCUS BLVD, MELBOURNE, FL 32901
(321) 733-7111
(321) 733-1412
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
9396
FL
310400000X
Assisted Living Facility
Primary
AL9396
FL
311500000X
Alzheimer Center (Dementia Center)
9396
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06852327-00
—
FL
05
—
685232700
—
FL
Enumeration date
02/27/2007
Last updated
06/13/2016
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