Provider Profile

BROOKDALE AT HOME PALM BEACH GARDENS

Homemaker and Companion Service

FACILITY PROFILE

Street Address
  • 800 VILLAGE SQUARE XING PMB 203
    PALM BCH GDNS, FL 33410-4540
    County: Palm Beach
  • Phone: (561) 284-0456
Mailing Address
  • 800 VILLAGE SQUARE XING PMB 203
    PALM BCH GDNS, FL 33410-4540
    County: Palm Beach
  • Phone: (561) 284-0456
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Facility Information:
Facility/Provider Type:Homemaker and Companion Service
Administrator:RANDALL JOHNSTON
Financial Officer:DAWN KUSSOW
Owner/Licensee:BKD PERSONAL ASSISTANCE SERVICES, LLC
Owner/Licensee Since:7/17/2018

NamePositionOwnership
BROOKDALE LIVING COMMUNITIES INC100%
BENJAMIN J RICCIBOARD MEMBER/OFFICER0%
CHADWICK C WHITEBOARD MEMBER/OFFICER0%
DAWN KUSSOWBOARD MEMBER/OFFICER0%
LUCINDA M BAIERBOARD MEMBER/OFFICER0%
RAYMOND M LEISUREBOARD MEMBER/OFFICER0%
Profit Status:Not-For-Profit
Licensed Beds:Not Available
AHCA Number (File Number):39970539
AHCA Field Office:09
License Number:235581
Current License Effective:2/12/2025
Current License Expires:12/10/2024
License Status:IN LITIGATION
Services/Characteristics
Service Area:Palm Beach

Important information and facility/provider definitions can be found in the Glossary.

Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.