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BROOKSIDE
NPI 1932276086
Intermediate Care Facility, Intellectual Disabilities in Mason, OH

Active since November 30, 2006CLIA 36D1101463 · Waiver
780 SNIDER RD, MASON, OH 45040(513) 398-1020(513) 398-5228 Get Directions Write a Review

NPPES record last updated: December 28, 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 1932276086) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Mason, Ohio and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through June 25, 2027 and lists Kurt Miller, President, as its authorized official.

NPPES Registry Identity

NPI1932276086
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameMILLER HOLDINGS BROOKSIDE, INC.
Location Address780 SNIDER RDMason, OH 45040-1309
Mailing Address2460 Elm Rd Ne, Suite 600Warren, OH 44483-2900 · (330) 307-6816
Phone(513) 398-1020
Fax(513) 398-5228
Organization SubpartNo
Authorized OfficialKurt MillerPresident · (330) 307-6816
Enumeration DateNovember 30, 2006
Last NPPES UpdateDecember 28, 2012
✔ NPI 1932276086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
780 SNIDER RD, Mason, OH 45040
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Other Names 1

Doing Business AsBrookside

Other Identifiers 1

Medicaid0072148OH

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 36D1101463

Brookside · Mason, OH
Active · expires Jun 25, 2027
CLIA Number36D1101463
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorStuart A. Zakem
Laboratory Phone(513) 398-1020
Laboratory LocationBrookside780 Snider Road, Mason, OH 45040
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

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

RUSSELL-SMITH HOLDINGS, INC.
Intermediate Care Facility, Intellectual Disabilities
780 SNIDER RD
MASON, OH 45040
Warren County (513) 398-1020

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 Miller Holdings Brookside, Inc.'s NPI number?

The NPI number for Miller Holdings Brookside, Inc. is 1932276086. It was assigned to this organization in the NPPES registry on November 30, 2006. The provider is doing business as Brookside.

Where is Miller Holdings Brookside, Inc. located?

Miller Holdings Brookside, Inc. is located at 780 Snider Rd, Mason, OH 45040. The listed phone number is (513) 398-1020.

What is Miller Holdings Brookside, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Miller Holdings Brookside, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1101463) is associated with this NPI, valid through June 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Miller Holdings Brookside, Inc. was last updated on December 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.