BROOKDALE DRUG & ALCOHOL REHABILITATION CENTER LLC – NPI #1275093585
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

BROOKDALE DRUG & ALCOHOL REHABILITATION CENTER LLC is a substance abuse rehabilitation facility located in SCOTRUN, PA. NPPES has assigned the NPI number 1275093585 to BROOKDALE DRUG & ALCOHOL REHABILITATION CENTER LLC on March 22, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 3 years ago on May 09, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BROOKDALE DRUG & ALCOHOL REHABILITATION CENTER LLC below.

NPI Profile for
BROOKDALE DRUG & ALCOHOL REHABILITATION CENTER LLC

NPI Number
1275093585
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BROOKDALE DRUG & ALCOHOL REHABILITATION CENTER LLC
Primary location
2455 BACK MOUNTAIN ROAD
SCOTRUN, PA 18355
Phone: (714) 828-1800 Fax: (714) 882-1186
Mailing address
18401 VON KARMAN AVE STE 500
IRVINE, CA 92612-8531
Phone: (714) 828-1800 Fax: (714) 882-1186
Organization Subpart
No
Authorized Official
MAGDALEN GUSTILO
DIRECTOR OF PAYER RELATIONS
Phone: (714) 568-7667
Updated
Certification Date
May 09, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
DIRECT EMAIL ADDRESS
Content Type
CSV
Affiliation
N
Endpoint Location
2455 BACK MOUNTAIN ROAD,
SCOTRUN, PA 77025-1669