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BROOKSTONE ESTATES OF EFFINGHAM
NPI 1295123545
Assisted Living Facility in Effingham, IL

Active since January 08, 2015CLIA 14D2194931 · Waiver
1101 N MAPLE ST, EFFINGHAM, IL 62401(217) 347-5871(217) 347-5879 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brookstone Estates Of Effingham NPPES

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

BROOKSTONE ESTATES OF EFFINGHAM (NPI 1295123545) is a healthcare organization registered as an assisted living facility in Effingham, Illinois and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through October 4, 2026 and lists Annie Wendt, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1295123545
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWC- EFFINGHAM ESTATES OPS LLC
Location Address1101 N MAPLE STEffingham, IL 62401-1790
Mailing Address1101 N Maple StEffingham, IL 62401-1790 · (217) 347-5871 · Fax (217) 347-5879
Phone(217) 347-5871
Fax(217) 347-5879
Organization SubpartNo
Authorized OfficialAnnie WendtExecutive Director · (217) 347-5871
Enumeration DateJanuary 8, 2015
Last NPPES UpdateJanuary 21, 2015
✔ NPI 1295123545 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.
1101 N MAPLE ST, Effingham, IL 62401
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Other Names 1

Doing Business AsBrookstone Estates Of Effingham

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 14D2194931

Brookstone Estates Of Effingham · Effingham, IL
Active · expires Oct 4, 2026
CLIA Number14D2194931
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 5, 2024
Certificate Expiration DateOctober 4, 2026
Laboratory DirectorTeal N. Niebrugge
Laboratory Phone(217) 347-5871
Laboratory LocationBrookstone Estates Of Effingham1101 N Maple St, Effingham, IL 62401
CLIA data matches this NPI record on: Address Name 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.

BROOKSTONE ESTATES OF EFFINGHAM
Assisted Living Facility
1101 N MAPLE ST
EFFINGHAM, IL 62401
Effingham County (217) 610-4961
EFFINGHAM ESTATES, LLC
Point of Service
1101 N MAPLE ST
EFFINGHAM, IL 62401
Effingham County (217) 347-5871
MIDWEST CARE EFFINGHAM ESTATES LLC
Point of Service
1101 N MAPLE ST
EFFINGHAM, IL 62401
Effingham County (217) 347-5871

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- Effingham Estates Ops LLC's NPI number?

The NPI number for Wc- Effingham Estates Ops LLC is 1295123545. It was assigned to this organization in the NPPES registry on January 8, 2015. The provider is doing business as Brookstone Estates Of Effingham.

Where is Wc- Effingham Estates Ops LLC located?

Wc- Effingham Estates Ops LLC is located at 1101 N Maple St, Effingham, IL 62401. The listed phone number is (217) 347-5871.

What is Wc- Effingham Estates Ops LLC's specialty?

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

Does Wc- Effingham Estates Ops LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2194931) is associated with this NPI, valid through October 4, 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- Effingham Estates Ops LLC was last updated on January 21, 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.