Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brea Charlotte, LLC

Organization Assisted Living Facility · NPI 1306992664

Brea Charlotte, LLC is an Assisted Living Facility in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5326 Park Rd
Charlotte, NC 28209-3648
Phone: (704) 553-8700
Fax: (704) 553-8922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Alzheimer Center (Dementia Center) (primary) Taxonomy 311500000X · Licence HAL-060-085 (NC)
Assisted Living Facility Taxonomy 310400000X · Licence HAL-060-085 (NC)

Record details

NPI number1306992664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Richardson — Evp, Chief Admin. Officer · (615) 564-8131
Other names Brookdale South Park
NPI enumeratedJanuary 26, 2007
Last updated in NPPESMay 16, 2016
Mailing address6737 W Washington St, Suite 2300, Milwaukee, WI 53214-5647

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