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BROOKSTONE ESTATES OF VANDALIA
NPI 1053709303
Assisted Living Facility in Vandalia, IL

Active since January 08, 2015CLIA 14D2209406 · Waiver
1607 W FILLMORE ST, VANDALIA, IL 62471(618) 283-9825(618) 283-9926 Get Directions Write a Review

NPPES record last updated: January 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brookstone Estates Of Vandalia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKSTONE ESTATES OF VANDALIA (NPI 1053709303) is a healthcare organization registered as an assisted living facility in Vandalia, Illinois and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through January 12, 2027 and lists Shelly Dothager, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053709303
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWC- VANDALIA OPS, LLC
Location Address1607 W FILLMORE STVandalia, IL 62471-3112
Mailing Address1607 W Fillmore StVandalia, IL 62471-3112 · (618) 283-9825 · Fax (618) 283-9926
Phone(618) 283-9825
Fax(618) 283-9926
Organization SubpartNo
Authorized OfficialShelly DothagerExecutive Director · (618) 283-9825
Enumeration DateJanuary 8, 2015
✔ NPI 1053709303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1607 W FILLMORE ST, Vandalia, IL 62471
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Other Names 1

Doing Business AsBrookstone Estates Of Vandalia

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2209406

Brookstone Estates Vandalia · Vandalia, IL
Active · expires Jan 12, 2027
CLIA Number14D2209406
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 13, 2025
Certificate Expiration DateJanuary 12, 2027
Laboratory DirectorShelley Dothager
Laboratory Phone(618) 283-9825
Laboratory LocationBrookstone Estates Vandalia1607 West Fillmore St, Vandalia, IL 62471
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANDALIA ESTATES, LLC
Point of Service
1607 W FILLMORE ST
VANDALIA, IL 62471
Fayette County (618) 283-9825
BROOKSTONE ESTATES OF VANDALIA
Assisted Living Facility
1607 W FILLMORE ST
VANDALIA, IL 62471
Fayette County (618) 855-1136
MIDWEST CARE VANDALIA LLC
Point of Service
1607 W FILLMORE ST
VANDALIA, IL 62471
Fayette County (618) 283-9825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wc- Vandalia Ops, LLC's NPI number?

The NPI number for Wc- Vandalia Ops, LLC is 1053709303. It was assigned to this organization in the NPPES registry on January 8, 2015. The provider is doing business as Brookstone Estates Of Vandalia.

Where is Wc- Vandalia Ops, LLC located?

Wc- Vandalia Ops, LLC is located at 1607 W Fillmore St, Vandalia, IL 62471. The listed phone number is (618) 283-9825.

What is Wc- Vandalia Ops, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Wc- Vandalia Ops, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2209406) is associated with this NPI, valid through January 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wc- Vandalia Ops, LLC was last updated on January 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.