Provider Demographics
NPI:1962113894
Name:BROOKVIEW HEALTHCARE CENTER LLC
Entity type:Organization
Organization Name:BROOKVIEW HEALTHCARE CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-489-3101
Mailing Address - Street 1:510 THOMPSON ST
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29340-3620
Mailing Address - Country:US
Mailing Address - Phone:864-489-3101
Mailing Address - Fax:864-489-4888
Practice Address - Street 1:510 THOMPSON ST
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29340-3620
Practice Address - Country:US
Practice Address - Phone:864-489-3101
Practice Address - Fax:864-489-4888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-12
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility