BROOKSIDE CASA ISL
NPI 1740474600
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Versailles, MO

Active since September 04, 2007
506 BREMOND ST, VERSAILLES, MO 65084(573) 378-2462(573) 378-2462 Get Directions Write a Review

NPPES record last updated: September 4, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brookside Casa Isl NPPES

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

BROOKSIDE CASA ISL (NPI 1740474600) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Versailles, Missouri and active in the NPI registry since September 2007. The organization lists Denise Lynn Spotila, Owner, as its authorized official.

NPPES Registry Identity

NPI1740474600
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBROOKSIDE CASA ISL
Location Address506 BREMOND STVersailles, MO 65084-1122
Mailing Address506 Bremond StVersailles, MO 65084-1122 · (573) 378-2462 · Fax (573) 378-2462
Fax(573) 378-2462
Organization SubpartNo
Authorized OfficialDenise Lynn SpotilaOwner · (573) 378-2462
Enumeration DateSeptember 4, 2007
NPI 1740474600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
506 BREMOND ST, Versailles, MO 65084

Other Providers at the Same Location NPPES

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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
506 BREMOND ST
VERSAILLES, MO 65084

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 Brookside Casa Isl's NPI number?

The NPI number for Brookside Casa Isl is 1740474600. It was assigned to this organization in the NPPES registry on September 4, 2007.

Where is Brookside Casa Isl located?

Brookside Casa Isl is located at 506 Bremond St, Versailles, MO 65084. The listed phone number is (573) 378-2462.

What is Brookside Casa Isl's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Brookside Casa Isl was last updated on September 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.