Brookside Drive Operating LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BROOKSIDE DRIVE OPERATING LLC

Practice address

800 Brookside Dr
Little Rock, AR 72205-1644

Phone

(501) 224-3940

NPI assigned

May 27, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Israel Ganz

Title

Director

Phone

(732) 366-5705

Specialties & licenses 1

Addresses

Other names 1

• The Blossoms at Breckenridge Rehab & Nursing Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764288000000",
    "number": "1043003643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 CEDARBRIDGE AVE STE 3B",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017048",
            "telephone_number": "732-366-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BROOKSIDE DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051644",
            "telephone_number": "501-224-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE DRIVE OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A",
        "authorized_official_last_name": "GANZ",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-366-5705"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Blossoms at Breckenridge Rehab & Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bethany Joann Brooks, BCBA
• Gloria Jean Brooks
• Julia Brooks, RD
• Kathryn Brooks, LPC
• Kimbra Michelle Brooks, MS, RD, LD, CDE
• Brookside Health Services
• Brookside Healthcare & Rehab, LLC
• Lee Ann Brosh, M.A, CCC-SLP
• Amber Brossett, LCSW
• Erin Broughton, QBHP

• Skilled Nursing Facility in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.