Brookside Village, Inc
NPI 1265419428 · Skilled Nursing Facility · Jasper, IN
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brookside Village, Inc is a Skilled Nursing Facility organization in Jasper, IN (NPI 1265419428).
Provider details
- NPI number
- 1265419428
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Stephen Moore, President/Ceo(812) 332-2265
- License
- 050032401 (IN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-29
- Last updated
- 2017-03-20
Frequently asked questions
- What is Brookside Village, Inc's NPI number?
- Brookside Village, Inc's National Provider Identifier (NPI) is 1265419428, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brookside Village, Inc?
- Brookside Village, Inc is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Brookside Village, Inc located?
- Brookside Village, Inc's practice location on file with NPPES is 1111 Church Ave, Jasper, IN 47546-3761.
- What is Brookside Village, Inc's phone number?
- The practice phone number listed in the NPPES registry for Brookside Village, Inc is (812) 634-7750.
- Does Brookside Village, Inc accept Medicare?
- Brookside Village, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Brookside Village, Inc?
- The authorized official listed on Brookside Village, Inc's NPPES record is Stephen Moore, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brookside Village, Inc's NPI active?
- Yes — Brookside Village, Inc's NPI (1265419428) is active in the NPPES registry as of the last update on 2017-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.