BROOKSIDE NURSING HOME INC – NPI #1013901917
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

BROOKSIDE NURSING HOME INC is a skilled nursing facility (SNF) located in WHITE RIVER JUNCTION, VT. NPPES has assigned the NPI number 1013901917 to BROOKSIDE NURSING HOME INC on September 07, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 11 years ago on Jun 22, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BROOKSIDE NURSING HOME INC below.

NPI Profile for
BROOKSIDE NURSING HOME INC

NPI Number
1013901917
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BROOKSIDE NURSING HOME INC
Primary location
1200 CHRISTIAN ST
WHITE RIVER JUNCTION, VT 05001
Phone: (802) 295-7511 Fax: (802) 295-2533
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THOMAS RICE
PRESIDENT ADMINISTRATOR
Phone: (802) 295-7511
Updated
Identifiers

Identifiers for BROOKSIDE NURSING HOME INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCLIA4700718875
MEDICAIDVT0475010
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
VT 0270000136

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.