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BROOKSIDE
NPI 1629338686
Assisted Living Facility in Pine River, MN

Active since May 24, 2012CLIA 24D2040148 · Waiver
2729 STATE 371 SW, PINE RIVER, MN 56474(218) 587-3304(218) 587-3314 Get Directions Write a Review

NPPES record last updated: May 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brookside NPPES

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

BROOKSIDE (NPI 1629338686) is a healthcare organization registered as an assisted living facility in Pine River, Minnesota and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through April 23, 2028 and lists Melanie Burns, Owner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629338686
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameNORTHWOODS DNA, INC.
Location Address2729 STATE 371 SWPine River, MN 56474-4025
Mailing Address44526 County 3Becida, MN 56678-4437
Phone(218) 587-3304
Fax(218) 587-3314
Organization SubpartNo
Authorized OfficialMelanie BurnsOwner, Administrator · (218) 308-4334
Enumeration DateMay 24, 2012
✔ NPI 1629338686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MN · 357493
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.
2729 STATE 371 SW, Pine River, MN 56474
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Other Names 1

Doing Business AsBrookside

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 24D2040148

Brookside Assisted Living · Pine River, MN
Active · expires Apr 23, 2028
CLIA Number24D2040148
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 24, 2026
Certificate Expiration DateApril 23, 2028
Laboratory DirectorCynthia M. Duke
Laboratory Phone(218) 587-3304
Laboratory LocationBrookside Assisted Living2729 State 371 NW, Pine River, MN 56474
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Northwoods Dna, Inc.'s NPI number?

The NPI number for Northwoods Dna, Inc. is 1629338686. It was assigned to this organization in the NPPES registry on May 24, 2012. The provider is doing business as Brookside.

Where is Northwoods Dna, Inc. located?

Northwoods Dna, Inc. is located at 2729 State 371 SW, Pine River, MN 56474. The listed phone number is (218) 587-3304.

What is Northwoods Dna, Inc.'s specialty?

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

Does Northwoods Dna, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2040148) is associated with this NPI, valid through April 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northwoods Dna, Inc. was last updated on May 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.