BROOKSIDE SENIOR LIVING
NPI 1942728662
Assisted Living Facility in Montevideo, MN
About Brookside Senior Living NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKSIDE SENIOR LIVING (NPI 1942728662) is a healthcare organization registered as an assisted living facility in Montevideo, Minnesota and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Seelochani Stadtherr, Avp, Revenue Cycle Management, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 24D2135052
Brookside Senior Living · Montevideo, MNOther 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 Senior Living's NPI number?
The NPI number for Brookside Senior Living is 1942728662. It was assigned to this organization in the NPPES registry on September 1, 2017.
Where is Brookside Senior Living located?
Brookside Senior Living is located at 804 Benson Rd, Montevideo, MN 56265. The listed phone number is (612) 238-5231.
What is Brookside Senior Living's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Brookside Senior Living hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2135052) is associated with this NPI, valid through August 14, 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 Brookside Senior Living was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.
# Brookside Senior Living · NPI 1942728662
Assisted Living Facility organization in Montevideo, Minnesota. Organization record, active in the CMS NPPES registry since September 1, 2017.
## Identity
- **NPI:** 1942728662 (Entity type: Organization)
- **Enumerated:** September 1, 2017
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Seelochani Stadtherr, AVP, REVENUE CYCLE MANAGEMENT
## Practice location
- **Address:** 804 BENSON RD, Montevideo, MN 56265-1307
- **Phone:** (612) 238-5231
## Record status
- **NPPES last updated:** July 23, 2026
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1942728662) · Data from the CMS NPPES public registry.