BROOKSIDE NURSING AND REHABILITATION CENTER, LLC (NPI# 1548649932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548649932 |
| Entity Type | Organization |
| Organization Name | BROOKSIDE NURSING AND REHABILITATION CENTER, LLC |
| Practice Address |
1200 Christian St White River Junction VT 05001-9267 |
| Mailing Address |
874 E 26th St Brooklyn NY 11210-2824 |
| Practice Telephone | 8022957511 |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-11-20 |
| Authorized Official Name | MR. ELI SKAIST (MANAGING PARTNER) |
| Authorized Official Telephone | 7183441351 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
1200 CHRISTIAN ST |
| City | WHITE RIVER JUNCTION |
| State | VT |
| Zip Code | 05001-9267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548714413 | Karen O'donoghue | Occupational Therapist | 1200 Christian St, Brookside Nursing Home, White River Junction, VT 05001-9267 | 2016-08-09 |
| 1811229982 | Daniel Charles Bartlett | Registered Nurse | 1200 Christian St, White River Junction, VT 05001-9267 | 2010-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265071674 | Angela Norton | Dietitian, Registered | White River Junction Va, 163 Veterans Drive, White River Junction, VT 05001 | 2020-01-02 |
| 1295221687 | Arielle Courtney Strickland | Behavioral Analyst | 91 Farmvu Dr, White River Junction, VT 05001 | 2018-07-09 |
| 1639544075 | Maureen D Bogosian | Counselor | 211 North Main St, White River, VT 05001 | 2015-12-10 |
| 1104254515 | Peter David Tenenbaum | Social Worker | 67 Raymond Circle, White River Junction, VT 05001 | 2013-10-22 |
| 1124311493 | Amber J Leavitt | Counselor | 226 Holiday Dr Ste 21, White River Junction, VT 05001 | 2011-05-19 |
| 1083820963 | Eileen Frances Lanza | Counselor | 3 Palmer Court, White River Junction, VT 05001 | 2007-05-15 |
| 1841337912 | Carol B. Collier | Counselor | 5 Palmer Court, White River Junction, VT 05001 | 2007-01-30 |
| 1174682041 | Mark G Koch | Marriage & Family Therapist | 1011 N. Main St. #21, White River Junction, VT 05001 | 2006-12-07 |
| 1518032564 | White River Family Practice PC | Family Medicine | 331 Olcott Drive, Suite U3, White River Jct, VT 05001 | 2006-11-22 |
| 1396818100 | Richard Sandford Zubarik | Internal Medicine | Smith 212-fletcher Allen Health Care, Colchester Avenue, Burlington, VT 05001 | 2006-11-17 |
| Find all providers in zip 05001 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | 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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831574052 | 2 Blackberry Lane Operations LLC | Skilled Nursing Facility | 2 Blackberry Ln, Bennington, VT 05201-2300 | 2015-07-29 |
| 1598153322 | Cck Holdings, LLC | Skilled Nursing Facility | 7 Forest Hill Dr, Saint Albans, VT 05478-1615 | 2015-01-01 |
| 1598049454 | Genesis Rehab Services | Skilled Nursing Facility | 296 Sheldon Road, Saint Albans, VT 05478 | 2011-10-10 |
| 1982918843 | Genesis Healthcare Lebanon | Skilled Nursing Facility | 1218 South Randolph Road, Randolph Center, VT 05061 | 2010-08-03 |
| 1679739445 | Lisa Lyn Shover | Skilled Nursing Facility | 63 Spring St, Newport, VT 05855-5819 | 2008-07-31 |
| 1518156603 | Kingdom Kare Rehabilitation Center | Skilled Nursing Facility | Mail Stop # 500, Maple Hill Road, Barton, VT 05822-0500 | 2007-10-15 |
| 1871709741 | Rutland Crossings LLC | Skilled Nursing Facility | 99 Allen Street, Rutland, VT 05701 | 2007-05-15 |
| 1952517823 | Brattleboro Crossings LLC | Skilled Nursing Facility | 187 Oak Grove Avenue, Brattleboro, VT 05301 | 2007-05-15 |
| 1437229283 | Eden Park Management, Inc. | Skilled Nursing Facility | 99 Allen St, Rutland, VT 05701-4501 | 2006-11-09 |
| 1093885840 | Eden Park Management, Inc. | Skilled Nursing Facility | 187 Oak Grove Ave, Brattleboro, VT 05301-6642 | 2006-11-09 |
| Find all providers with the same taxonomy | ||||
| City | WHITE RIVER JUNCTION |
| Zip Code | 05001 |
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| 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.