BROOKSVILLE ASSISTED LIVING HOME INC.
NPI 1245801646
Assisted Living Facility in Brooksville, MS
About Brooksville Assisted Living Home Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKSVILLE ASSISTED LIVING HOME INC. (NPI 1245801646), doing business as Oakwood Manor, is a healthcare organization registered as an assisted living facility in Brooksville, Mississippi and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through September 24, 2026 and lists Aaron Koehn, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 25D2193845
Brooksville Assisted Living Home Inc Dba Oakwood Manor · Brooksville, MSOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Brooksville Assisted Living Home Inc.'s NPI number?
The NPI number for Brooksville Assisted Living Home Inc. is 1245801646. It was assigned to this organization in the NPPES registry on July 7, 2021. The provider is doing business as Oakwood Manor.
Where is Brooksville Assisted Living Home Inc. located?
Brooksville Assisted Living Home Inc. is located at 55 Oakwood Dr, Brooksville, MS 39739. The listed phone number is (662) 738-4866.
What is Brooksville Assisted Living Home Inc.'s specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Brooksville Assisted Living Home Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2193845) is associated with this NPI, valid through September 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Brooksville Assisted Living Home Inc. was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Brooksville Assisted Living Home Inc. · NPI 1245801646
Assisted Living Facility organization in Brooksville, Mississippi. Organization record, active in the CMS NPPES registry since July 7, 2021.
## Identity
- **NPI:** 1245801646 (Entity type: Organization)
- **Enumerated:** July 7, 2021
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Also known as:** Oakwood Manor (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Aaron Koehn, ADMINISTRATOR
## Practice location
- **Address:** 55 OAKWOOD DR, Brooksville, MS 39739-2004
- **Phone:** (662) 738-4866
## Record status
- **NPPES last updated:** July 7, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1245801646) · Data from the CMS NPPES public registry.