Brookside Manor
Brookside Manor is a healthcare organization registered as Assisted Living Facility in Farmington, MO, holding Type 2 (organization) NPI 1902008766 since 2007. The authorized official on file is Julie Nicholson, Owner Operator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1902008766 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Brookside Manor |
| Practice address | 2434 HIGHWAY H, Farmington, MO, 63640 |
| Phone | 5737566434 |
| Fax | 5737566434 |
| Enumeration date | 2007-06-04 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Julie Nicholson |
|---|---|
| Title | Owner Operator |
| Phone | 5737566434 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | Primary | 033659 | MO |
Copy-ready billing details
Provider: Brookside Manor NPI: 1902008766 Taxonomy: 310400000X (Assisted Living Facility) Address: 2434 HIGHWAY H, Farmington, MO, 63640
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1275713638 | Brookside Manor Residential Care, LLC | Organization | Assisted Living Facility | Farmington, MO |
Verify this record
Cross-check NPI 1902008766 against the authoritative CMS record: view Brookside Manor on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Brookside Manor?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.