Brookside Manor Llc

LBN: Brookside Manor Llc
Brookside Manor Llc is an health care organization with primary practice located at 1740 W Mccord St , Centralia IL 62801-5808. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Brookside Manor Llc can be contacted via phone (618) 532-2428, or through Middleton, Lisa via phone (618) 532-2428.

Contact Information

Primary practice address
1740 W Mccord St Centralia IL 62801-5808
Phone: (618) 532-2428
Fax: (618) 532-8305
Website:
Map and Directions
Authorized official contact:
Name: Middleton, Lisa
Phone: (618) 532-2428

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 00045096 Illinois

Profile Details

NPI number 1457476640
LBN Legal business name Brookside Manor Llc
DBA Doing business as
Authorized official Middleton, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Aug 22nd, 2020 - about 4 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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