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BROOKSTONE OF MATTOON NORTH
NPI 1265820526
Assisted Living Facility in Mattoon, IL

Active since January 08, 2015CLIA 14D2195527 · Waiver
1920 BROOKSTONE LN, MATTOON, IL 61938(217) 235-5881(217) 235-5878 Get Directions Write a Review

NPPES record last updated: January 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brookstone Of Mattoon North NPPES

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

BROOKSTONE OF MATTOON NORTH (NPI 1265820526) is a healthcare organization registered as an assisted living facility in Mattoon, Illinois and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through October 8, 2026 and lists Robert Russell, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1265820526
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWC- MATTOON NORTH OPS, LLC
Location Address1920 BROOKSTONE LNMattoon, IL 61938-6105
Mailing Address1920 Brookstone LnMattoon, IL 61938-6105 · (217) 235-5881 · Fax (217) 235-5878
Phone(217) 235-5881
Fax(217) 235-5878
Organization SubpartNo
Authorized OfficialRobert RussellExecutive Director · (217) 235-5881
Enumeration DateJanuary 8, 2015
✔ NPI 1265820526 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.
1920 BROOKSTONE LN, Mattoon, IL 61938
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Other Names 1

Doing Business AsBrookstone Of Mattoon North

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 14D2195527

Brookstone Estates Of Mattoon North · Mattoon, IL
Active · expires Oct 8, 2026
CLIA Number14D2195527
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorErica Ozier
Laboratory Phone(217) 235-5881
Laboratory LocationBrookstone Estates Of Mattoon North1920 Brookstone Lane, Mattoon, IL 61938
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.

MATTOON ESTATES NORTH, LLC
Point of Service
1920 BROOKSTONE LN
MATTOON, IL 61938
Coles County (217) 235-5881
MIDWEST CARE MATTOON NORTH LLC
Point of Service
1920 BROOKSTONE LN
MATTOON, IL 61938
Coles County (217) 235-5881
BROOKSTONE ESTATES OF MATTOON NORTH
Assisted Living Facility
1920 BROOKSTONE LN
MATTOON, IL 61938
Coles County (812) 898-4043

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- Mattoon North Ops, LLC's NPI number?

The NPI number for Wc- Mattoon North Ops, LLC is 1265820526. It was assigned to this organization in the NPPES registry on January 8, 2015. The provider is doing business as Brookstone Of Mattoon North.

Where is Wc- Mattoon North Ops, LLC located?

Wc- Mattoon North Ops, LLC is located at 1920 Brookstone Ln, Mattoon, IL 61938. The listed phone number is (217) 235-5881.

What is Wc- Mattoon North Ops, LLC's specialty?

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

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

Yes. A Certificate of Waiver (number 14D2195527) is associated with this NPI, valid through October 8, 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 Wc- Mattoon North 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.