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Brookside Village, Inc

Skilled Nursing Facility in Jasper, IN · enumerated 2005 · authorized official Stephen Moore, President/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265419428

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Registry record

Entity type Organization (Type 2)
Legal business name Brookside Village, Inc
Practice address 1111 Church Ave, Jasper, IN, 47546
Phone (812) 634-7750
Fax (812) 634-7751
Enumeration date Dec 29, 2005
Last updated in NPPES Mar 20, 2017

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 050032401 (IN) Primary

Authorized official

Name Stephen Moore
Title President/Ceo
Phone (812) 332-2265

Other identifiers

Identifier Type State Issuer
201274720A Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Brookside Village, Inc located?
The practice location on file with NPPES is in Jasper, IN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-03-20. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-03-20.