BROOKSIDE MANOR
NPI 1902008766
Assisted Living Facility in Farmington, MO

Q: What is Brookside Manor's NPI number?

The NPI number for Brookside Manor is 1902008766. It was assigned to this organization in the NPPES registry on June 4, 2007.

Q: What is Brookside Manor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brookside Manor was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 04, 2007

2434 HIGHWAY H, FARMINGTON, MO 63640(573) 756-6434(573) 756-6434 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Brookside Manor NPPES

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

BROOKSIDE MANOR (NPI 1902008766) is a healthcare organization registered as an assisted living facility in Farmington, Missouri and active in the NPI registry since June 2007. The organization lists Julie Nicholson, Owner Operator, as its authorized official.

NPPES Registry Identity

NPI1902008766

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBROOKSIDE MANOR

Location Address2434 HIGHWAY HFarmington, MO 63640-7033

Mailing Address2434 Highway HFarmington, MO 63640-7033 · (573) 756-6434 · Fax (573) 756-6434

Phone(573) 756-6434

Fax(573) 756-6434

Organization SubpartNo

Authorized OfficialJulie NicholsonOwner Operator · (573) 756-6434

Enumeration DateJune 4, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1902008766 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 MO · 033659

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.

2434 HIGHWAY H, Farmington, MO 63640

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Other Providers at the Same Location NPPES

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

BROOKSIDE MANOR RESIDENTIAL CARE, LLC

Assisted Living Facility

2434 HIGHWAY H
FARMINGTON, MO 63640

St. Francois County (573) 756-6434

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 Manor's NPI number?

The NPI number for Brookside Manor is 1902008766. It was assigned to this organization in the NPPES registry on June 4, 2007.

Where is Brookside Manor located?

Brookside Manor is located at 2434 Highway H, Farmington, MO 63640. The listed phone number is (573) 756-6434.

What is Brookside Manor's specialty?

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

When was this NPI record last updated?

The NPPES record for Brookside Manor was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.