BROOKE MANOR INC (NPI# 1285073783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285073783 |
| Entity Type | Organization |
| Organization Name | BROOKE MANOR INC |
| Practice Address |
4878 Hwy 31 Brookston MN 55711 |
| Mailing Address |
4660 Aune Rd Saginaw MN 55779-9682 |
| Practice Telephone | 2184535262 |
| Practice Fax Number | 2184531023 |
| Mailing Telephone | 2184535262 |
| Mailing Fax Number | 2184531023 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |
| Authorized Official Name | VIRGINIA TUOMINEN (PRESIDENT) |
| Authorized Official Telephone | 2185907322 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 362531 | MN | Nursing & Custodial Care Facilities |
| Street Address |
4878 HWY 31 |
| City | BROOKSTON |
| State | MN |
| Zip Code | 55711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255683660 | Ajbb Duluth Properties | Custodial Care Facility | 5130 Hwy. 31, Brookston, MN 55711 | 2012-10-09 |
| 1699008805 | Sharon Shofner Adult Foster Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8783 2nd St South, Brookston, MN 55711 | 2009-09-08 |
| 1790060838 | Stonehaven Assisted Living Inc. | Nursing Facility/Intermediate Care Facility | 8783 2nd Street South, Brookston, MN 55711-0284 | 2011-10-20 |
| 1124349790 | Andrew Timothy Shofner | Case Manager/Care Coordinator | 4849 4th Ave, Brookston, MN 55711-0317 | 2010-06-18 |
| 1104037985 | Peterson Colonial Homes, Inc. | Assisted Living Facility | 4723 Nygaard Road, Brookston, MN 55711-0350 | 2007-05-24 |
| 1942586532 | Jennier Renee Johnson | Assisted Living Facility | 8783 2nd Street South, Brookston, MN 55711-0367 | 2011-10-26 |
| 1891944120 | Transitions Plus, Inc. | Foster Care Agency | 9316 Mccamus Rd, Brookston, MN 55711-8050 | 2008-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908667 | Cassandra Nicole Snell | Registered Nurse | 5258 Farm Road 1506, Brookston, TX 75421-4318 | 2020-10-06 |
| 1902410772 | Ashley Kathleen Rosenbarger | Registered Nurse | 8362 S 125 E, Brookston, IN 47923-8238 | 2020-08-31 |
| 1790202075 | Mackenzie K. Lopp | Dentist | 803 S Prairie St, Brookston, IN 47923-8410 | 2017-08-28 |
| 1750648762 | Tammy Louise Taylor-walden | Physical Therapist | 10281 S Wildwood Ct, Brookston, IN 47923-8357 | 2012-04-13 |
| 1003106022 | Lizabeth Lee Marks-shepard | Pharmacist | 11030 S 200 W, Brookston, IN 47923-8217 | 2011-04-11 |
| 1124321484 | Life Essentials LLC | Durable Medical Equipment & Medical Supplies | 8796 S Us Highway 231, Brookston, IN 47923-8018 | 2010-12-08 |
| 1114256930 | Pdq Ultrasound Services LLC | Physiological Laboratory | 412 County Road 34020, Brookston, TX 75421-2316 | 2009-12-08 |
| 1144477753 | Steven L Kenyon | Contractor | 9368 S 150 W, Brookston, IN 47923-8059 | 2008-08-26 |
| 1639383698 | Clarence Lee Lopp II | Dentist | 803 S. Prairie St., Brookston, IN 47923-8410 | 2007-05-09 |
| 1508988148 | Sharon C Gard | Developmental Therapist | 112 W 2nd St., Brookston, IN 47923 | 2007-04-04 |
| Find all providers in BROOKSTON | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942586532 | Jennier Renee Johnson | Assisted Living Facility | 8783 2nd Street South, Brookston, MN 55711-0367 | 2011-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193417 | Midwest Group Home | Assisted Living Facility | 4232 5th St Ne, Columbia Heights, MN 55421-2860 | 2020-10-30 |
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1750980603 | Estherra Care LLC | Assisted Living Facility | 1120 Morgan Ave N, Minneapolis, MN 55411-3805 | 2020-10-21 |
| 1679189682 | Daniel Care Homes LLC | Assisted Living Facility | 6809 Perry Ave N, Brooklyn Center, MN 55429-1611 | 2020-09-16 |
| 1326651779 | Secured Health and Homecare Inc | Assisted Living Facility | 4519 104th Ave N, Brooklyn Park, MN 55443-1030 | 2020-08-26 |
| 1811509870 | Aurora Assisted Living LLC | Assisted Living Facility | 115 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-20 |
| 1003427477 | In My Father's House | Assisted Living Facility | 3096 Snelling Ave N, Roseville, MN 55113-1659 | 2020-08-11 |
| 1710595863 | Eden Prairie Senior Living | Assisted Living Facility | 8480 Franlo Rd, Eden Prairie, MN 55344-2938 | 2020-07-15 |
| 1447868468 | Brightstar Services LLC | Assisted Living Facility | 1821 University Ave W Ste 120, Saint Paul, MN 55104-2811 | 2020-07-15 |
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BROOKE MANOR INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.