Provider Demographics
NPI:1265667737
Name:BROOKFIELD SENIOR LIVING, LLC
Entity Type:Organization
Organization Name:BROOKFIELD SENIOR LIVING, LLC
Other - Org Name:THE CHELSEA AT BROOKFIELD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:D
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:CALA
Authorized Official - Phone:908-475-5556
Mailing Address - Street 1:1 BROOKFIELD CT
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:NJ
Mailing Address - Zip Code:07823-3215
Mailing Address - Country:US
Mailing Address - Phone:908-475-5556
Mailing Address - Fax:908-475-5557
Practice Address - Street 1:1 BROOKFIELD DR
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:NJ
Practice Address - Zip Code:07823-3215
Practice Address - Country:US
Practice Address - Phone:908-475-5556
Practice Address - Fax:908-475-5557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ21A001310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility