Healthcare Provider Details

I. General information

NPI: 1013044668
Provider Name (Legal Business Name): BROOKLAND SENIOR DAY CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 02/06/2020
Certification Date: 02/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6210 CHILLUM PL NW
WASHINGTON DC
20011-1400
US

IV. Provider business mailing address

PO BOX 60183
WASHINGTON DC
20039-0183
US

V. Phone/Fax

Practice location:
  • Phone: 202-716-5667
  • Fax: 202-722-8518
Mailing address:
  • Phone: 202-291-2173
  • Fax: 202-291-1085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number261QA0600X
License Number StateDC

VIII. Authorized Official

Name: MS. JANET S BRAME
Title or Position: BUSINESS MANAGER
Credential:
Phone: 301-270-6261