Brookside Nursing Home Inc

LBN: Brookside Nursing Home Inc
Brookside Nursing Home Inc is an health care organization with primary practice located at 1200 Christian St , White River Jct VT 05001. 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 Nursing Home Inc can be contacted via phone (802) 295-7511, or through Rice, Thomas E via phone (802) 295-7511.

Contact Information

Primary practice address
1200 Christian St White River Jct VT 05001
Phone: (802) 295-7511
Fax: (802) 295-2533
Website:
Map and Directions
Authorized official contact:
Name: Rice, Thomas E ADMINISTRATOR
Phone: (802) 295-7511

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0270000136 Vermont

Profile Details

NPI number 1013901917
LBN Legal business name Brookside Nursing Home Inc
DBA Doing business as
Authorized official Rice, Thomas E ADMINISTRATOR
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2005
Last updated Jun 22nd, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013901917 NPPES
Vermont MEDICAID 0475010
Vermont Other 4700718875

Popular Providers