Brookside Village, Inc
NPI 1265419428ActiveOrganization· Skilled Nursing Facility· Jasper, IN
Skilled Nursing Facility in Jasper, Indiana, registered in NPPES in December 2005. The authorized official on file is Stephen G. Moore, MD, President/Ceo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1265419428 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 29, 2005 |
| Last updated in NPPES | Mar 20, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 050032401 | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (IN) |
|---|
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