Brookside Village, Inc in Jasper - Skilled Nursing Facility
Brookside Village, Inc - NPI 1265419428
Brookside Village, Inc is a Skilled Nursing Facility in Jasper, Indiana. Brookside Village, Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Brookside Village, Inc is 1265419428. The last update date is 2017-03-20.
Brookside Village, Inc's current location address is 1111 Church Ave, Jasper, Indiana. You can contact this provider via phone number 8126347750 and fax number 8126347751. The mailing address for Brookside Village, Inc is 1111 Church Ave, Jasper, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brookside Village, Inc |
|---|---|
| Address | 1111 Church Ave, Jasper, Indiana |
| Phone Number | 8126347750 |
| Fax Number | 8126347751 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Moore G. Stephen |
| Credentials | MD |
| Telephone Number | 8123322265 |
NPI Number Detail
| NPI Number | 1265419428 |
|---|---|
| Provider Enumeration Date | 2005-12-29 |
| Last Updated Date | 2017-03-20 |
Provider Mailing Address Detail
| Address | 1111 Church Ave |
|---|---|
| City | Jasper |
| State | Indiana (IN) |
| Post Code | 475463761 |
| Phone Number | 8126347750 |
| Fax Number | 8126347751 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 50032401 |
|
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201274720A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Brookside Village, Inc by the Centers for Medicare & Medicaid Services?
The Brookside Village, Inc has been issued the NPI (National Provider Identifier) 1265419428, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Brookside Village, Inc's facilities are situated?
The facilities of Brookside Village, Inc are physically located at the following address: 1111 Church Ave, Jasper, IN, 475463761.
What is Brookside Village, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brookside Village, Inc is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.
On what date did Brookside Village, Inc receive its 1265419428 assignment from the Centers for Medicare & Medicaid Services?
The Brookside Village, Inc was assigned its 1265419428 on 2005-12-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Brookside Village, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Brookside Village, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-03-20.