Brookside Manor LLC
NPI 1457476640 · Nursing Facility/Intermediate Care Facility · Centralia, IL
Brookside Manor LLC is a Nursing Facility/Intermediate Care Facility organization in Centralia, IL (NPI 1457476640).
Provider details
- NPI number
- 1457476640
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Middleton, Administrator(618) 532-2428
- License
- 00045096 (IL)
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
19 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
- 2007-03-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Brookside Manor LLC's NPI number?
- Brookside Manor LLC's National Provider Identifier (NPI) is 1457476640, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brookside Manor LLC?
- Brookside Manor LLC is classified in the NPPES registry as Nursing Facility/Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Brookside Manor LLC located?
- Brookside Manor LLC's practice location on file with NPPES is 1740 W Mccord St, Centralia, IL 62801-5808.
- What is Brookside Manor LLC's phone number?
- The practice phone number listed in the NPPES registry for Brookside Manor LLC is (618) 532-2428.
- Who is the authorized official for Brookside Manor LLC?
- The authorized official listed on Brookside Manor LLC's NPPES record is Lisa Middleton, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brookside Manor LLC's NPI active?
- Yes — Brookside Manor LLC's NPI (1457476640) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.