MEDICARE: BROOKDALE HOMECARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1326922899
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROOKDALE HOMECARE LLC

Provider Business Mailing Address
First Line	:	623 PARK MEADOW RD STE D
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-2876
Country	:	US
Telephone Number	:	310-270-7253
Fax Number	:

Provider Business Practice Location Address
First Line	:	623 PARK MEADOW RD STE D
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-2876
Country	:	US
Telephone Number	:	310-270-7253
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF NURSING
Name	:	MARTIAUNA CORTES
Credential	:
Telephone Number	:	310-927-1845

Provider Enumeration Date	:	08/05/2025
Last Update Date	:	02/25/2026

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