Brookside Nursing Home Inc in White River Jct - Skilled Nursing Facility
Brookside Nursing Home Inc - NPI 1013901917
Brookside Nursing Home Inc is a Skilled Nursing Facility in White River Jct, Vermont. Brookside Nursing Home Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Brookside Nursing Home Inc is 1013901917. The last update date is 2015-06-22.
Brookside Nursing Home Inc's current location address is 1200 Christian St, White River Jct, Vermont. You can contact this provider via phone number 8022957511 and fax number 8022952533. The mailing address for Brookside Nursing Home Inc is 1200 Christian St, White River Jct, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brookside Nursing Home Inc |
|---|---|
| Address | 1200 Christian St, White River Jct, Vermont |
| Phone Number | 8022957511 |
| Fax Number | 8022952533 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Rice E Thomas |
| Credentials | ADMINISTRA |
| Telephone Number | 8022957511 |
NPI Number Detail
| NPI Number | 1013901917 |
|---|---|
| Provider Enumeration Date | 2005-09-07 |
| Last Updated Date | 2015-06-22 |
Provider Mailing Address Detail
| Address | 1200 Christian St |
|---|---|
| City | White River Jct |
| State | Vermont (VT) |
| Post Code | 5001 |
| Phone Number | 8022957511 |
| Fax Number | 8022952533 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 270000136 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 475010 | VT | -- | |
| 4700718875 | CLIA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Brookside Nursing Home Inc by the Centers for Medicare & Medicaid Services?
The Brookside Nursing Home Inc has been assigned the NPI (National Provider Identifier) 1013901917 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Brookside Nursing Home Inc is geographically located?
The Brookside Nursing Home Inc is physically situated at the following location: 1200 Christian St, White River Jct, VT, 5001.
What is Brookside Nursing Home Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brookside Nursing Home Inc is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013901917 to Brookside Nursing Home Inc?
The Centers for Medicare & Medicaid Services assigned the 1013901917 to Brookside Nursing Home Inc on 2005-09-07.
As of what date were the Brookside Nursing Home Inc's details last updated?
The information pertaining to the Brookside Nursing Home Inc, including its address, specialty, and other details, was most recently updated on 2015-06-22.