BROOKE HAVEN CARE HOME
NPI 1417440488
Specialist in Fort Worth, TX

Active since June 13, 2018
1540 BERCKMANS RD, FORT WORTH, TX 76120(817) 308-1806 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 13, 2018 (2 updates tracked since 2018).

About Brooke Haven Care Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKE HAVEN CARE HOME (NPI 1417440488) is a healthcare organization registered as a specialist in Fort Worth, Texas and active in the NPI registry since June 2018. The organization lists Tyrin Holt, Specialist, as its authorized official.

NPPES Registry Identity

NPI1417440488
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBROOKE HAVEN CARE HOME LLC
Location Address1540 BERCKMANS RDFort Worth, TX 76120-1500
Mailing Address4009 Cottage Park CtArlington, TX 76013-8087 · (817) 308-1806
Organization SubpartNo
Authorized OfficialTyrin HoltSpecialist · (817) 308-1806
Enumeration DateJune 13, 2018
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1417440488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1540 BERCKMANS RD, Fort Worth, TX 76120

Other Names 1

Doing Business AsBrooke Haven Care Home

Other Identifiers 1

Other1518471986TX · Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
1540 BERCKMANS RD
FORT WORTH, TX 76120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooke Haven Care Home LLC's NPI number?

The NPI number for Brooke Haven Care Home LLC is 1417440488. It was assigned to this organization in the NPPES registry on June 13, 2018. The provider is doing business as Brooke Haven Care Home.

Where is Brooke Haven Care Home LLC located?

Brooke Haven Care Home LLC is located at 1540 Berckmans Rd, Fort Worth, TX 76120. The listed phone number is (817) 308-1806.

What is Brooke Haven Care Home LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Brooke Haven Care Home LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.