Brookside Care Center

LBN: Brookside Care Center
Brookside Care Center is an health care organization with primary practice located at 3506 Washington Rd , Kenosha WI 53144. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Brookside Care Center can be contacted via phone (262) 653-3800, or through Hardt, Sandra via phone (262) 653-3800.

Contact Information

Primary practice address
3506 Washington Rd Kenosha WI 53144
Phone: (262) 653-3800
Fax: (262) 653-3850
Website:
Map and Directions
Authorized official contact:
Name: Hardt, Sandra NHA RN
Phone: (262) 653-3800

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 3155 Wisconsin

Profile Details

NPI number 1558329185
LBN Legal business name Brookside Care Center
DBA Doing business as
Authorized official Hardt, Sandra NHA RN
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Feb 5th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558329185 NPPES
Wisconsin MEDICAID 20130300

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