Healthcare Provider Details

I. General information

NPI: 1801810031
Provider Name (Legal Business Name): THE BROOKDALE HOSPITAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 11/15/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BROOKDALE PLZ HOME HEALTH
BROOKLYN NY
11212-3139
US

IV. Provider business mailing address

1 BROOKDALE PLAZA ATTN: DOLLYANN YORKE
BROOKLYN NY
11212-3198
US

V. Phone/Fax

Practice location:
  • Phone: 718-240-6374
  • Fax:
Mailing address:
  • Phone: 718-240-5615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHARLES SALVO
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 718-240-6374