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.

OrganizationActive

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)

Practice location

1740 W Mccord St

Centralia, IL 62801-5808

Phone: (618) 532-2428

Fax: (618) 532-8305

Street-level locationGet directions

More IL providers

Mailing address

1740 W Mccord St

Centralia, IL 62801-5808

Specialties & taxonomies

Nursing Facility/Intermediate Care FacilityPrimary313M00000XLicense 00045096 (IL)
Nursing & Custodial Care Facilities

Profile Score

Detailed profile(90/100 index)

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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions