OrganizationActive
At Home of Brevard, LLC.
NPI 1629244629 · Assisted Living Facility · Palm Bay, FL
Provider details
- NPI number
- 1629244629
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Cullen, Administrator(321) 676-6331
- License
- 10779 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3116 Wendel Rd Se
Palm Bay, FL 32909-8469
Phone: (321) 952-6623
Fax: (321) 952-6624
Street-level locationGet directions
Mailing address
1351 Darrow Rd Sw
Palm Bay, FL 32908-6248
Other names (DBA / former)
- Doing business as
- Golden Wings Wendel
Registry dates
- Enumerated
- 2008-04-30
- Last updated
- 2008-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.