Brookside Manor
NPI 1902008766ActiveOrganization· Assisted Living Facility· Farmington, MO
Assisted Living Facility in Farmington, Missouri, registered in NPPES in June 2007. The authorized official on file is Julie Nicholson, RN, Owner Operator.
Overview
| NPI | 1902008766 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 4, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | 033659 | MO |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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