Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROOKSIDE MANOR LLC
Active OrganizationBROOKSIDE MANOR LLC is a Nursing Facility/Intermediate Care Facility organization located in CENTRALIA, Illinois. NPI 1457476640 is currently active in the NPPES registry. Verify at CMS.
Nursing Facility/Intermediate Care Facility · CENTRALIA, IL
Registration Details
- NPI Number
- 1457476640
- Provider Type
- Organization
- NPI Issued
- Mar 20, 2007 (19.414433814306 yrs)
- Last Updated
- Aug 22, 2020
- License
-
00045096 (IL)
Practice Information
- Address
-
1740 W MCCORD STCENTRALIA, IL, 628015808Browse IL providers · Browse ZIP 62801
- Phone
- 6185322428
- Fax
- 6185328305
- Primary Specialty
-
Nursing Facility/Intermediate Care Facility
313M00000X
Other Nursing Facility/Intermediate Care Facility Organizations in CENTRALIA, IL
| Name | NPI |
|---|---|
| PINCKNEYVILLE HEALTHCARE CENTER LLC | 1457476632 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.