Brookside Health Services

LBN: Brookside Health Services
Brookside Health Services is an health care organization with primary practice located at 800 Brookside Dr , Little Rock AR 72205-1644. 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 Health Services can be contacted via phone (501) 224-3940, or through Wiggins, Joey Martin via phone (501) 305-3153.

Contact Information

Primary practice address
800 Brookside Dr Little Rock AR 72205-1644
Fax: (501) 224-6649
Website:
Authorized official contact:
Name: Wiggins, Joey Martin

Health care specialties

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

Profile Details

NPI number 1174775316
LBN Legal business name Brookside Health Services
DBA Doing business as
Authorized official Wiggins, Joey Martin
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2008
Last updated Mar 29th, 2011 - about 14 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 1174775316 NPPES
Arkansas MEDICAID 174614311

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