Brea Decatur LLC
NPI 1174859904ActiveOrganization· Assisted Living Facility· Decatur, GA
Assisted Living Facility in Decatur, Georgia, registered in NPPES in October 2009, part of Brea Emeritus LLC. The authorized official on file is Noelle Bickel, Licensing Specialist.
Overview
| NPI | 1174859904 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Brea Emeritus LLC |
| NPI issued | Oct 29, 2009 |
| Last updated in NPPES | Oct 29, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | 044-03-241 | GA |
| Alzheimer Center (Dementia Center) | 311500000X | 044-03-241 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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