Provider Demographics
NPI:1952434318
Name:BROOKSTONE RETIREMENT CTR.,LLC.
Entity Type:Organization
Organization Name:BROOKSTONE RETIREMENT CTR.,LLC.
Other - Org Name:BROOKSTONE RETIREMENT CTR.,LLC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-243-2500
Mailing Address - Street 1:2968 OLD SALISBURY RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27295-7293
Mailing Address - Country:US
Mailing Address - Phone:336-243-2500
Mailing Address - Fax:336-243-2910
Practice Address - Street 1:2968 OLD SALISBURY RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27295-7293
Practice Address - Country:US
Practice Address - Phone:336-243-2500
Practice Address - Fax:336-243-2910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL-029-001310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility