BROOKSIDE MANOR
NPI 1902008766
Assisted Living Facility in Farmington, MO
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 holds a CLIA Waiver certificate valid through August 15, 2026 and lists Julie Nicholson, Owner Operator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
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 26D2117374
Brookside Manor Residential Care LLC · Farmington, MOOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Does Brookside Manor hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D2117374) is associated with this NPI, valid through August 15, 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 Brookside Manor was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.
