BROOKHAVEN MS OPCO LLC
NPI 1801538376
Intermediate Care Facility, Intellectual Disabilities in Brookhaven, MS

Active since April 13, 2022
524 BROOKMAN DR, BROOKHAVEN, MS 39601(601) 835-1884 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brookhaven Ms Opco Llc NPPES

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

BROOKHAVEN MS OPCO LLC (NPI 1801538376) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Brookhaven, Mississippi and active in the NPI registry since April 2022. The organization lists Batya Gorelick, Coo, as its authorized official.

NPPES Registry Identity

NPI1801538376
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameBROOKHAVEN MS OPCO LLC
Location Address524 BROOKMAN DRBrookhaven, MS 39601-2384
Mailing Address980 Sylvan AveEnglewood Cliffs, NJ 07632-3301 · (201) 928-7800
Organization SubpartNo
Authorized OfficialBatya GorelickCoo · (201) 928-7800
Enumeration DateApril 13, 2022
NPPES CertifiedApril 13, 2022
NPI 1801538376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

524 BROOKMAN DR, Brookhaven, MS 39601

Other Providers at the Same Location NPPES 2

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

Intermediate Care Facility, Intellectual Disabilities
524 BROOKMAN DR
BROOKHAVEN, MS 39601
Intermediate Care Facility, Intellectual Disabilities
524 BROOKMAN DR
BROOKHAVEN, MS 39601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801538376, enumerated as an "organization" on April 13, 2022.

The provider is located at 524 BROOKMAN DR BROOKHAVEN, MS 39601 and the phone number is (601) 835-1884.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.