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Organization Active NPI

Brookstone Estates of Vandalia

  • Assisted Living Facility
  • Vandalia, IL
National Provider Identifier
1053905406
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BROOKSTONE ESTATES OF VANDALIA
Practice address
1607 W Fillmore St
Vandalia, IL 62471-3112
Phone
(618) 855-1136
NPI assigned
Feb 25, 2021
Last updated
Jan 6, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
WELL PATH TENANT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Jerome E Finis
Title
Manager
Phone
(847) 274-9596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1607 W Fillmore St
Vandalia, IL 62471-3112

Mailing address

200 E Court St Ste 400
Kankakee, IL 60901-3848
Phone (815) 935-1992

Other names 1

  • Brookstone Estates of Vandalia Other name

National Provider Directory

National Provider Directory
Tax ID family
Brookstone Estates of Robinson19 organizations share this tax ID, including this one
Part of
Brookstone Estates of Robinson

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1053905406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E COURT ST STE 400",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013848",
            "telephone_number": "815-935-1992",
            "fax_number": "815-935-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 W FILLMORE ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624713112",
            "telephone_number": "618-855-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSTONE ESTATES OF VANDALIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELL PATH TENANT, LLC",
        "enumeration_date": "2021-02-25",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "FINIS",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-274-9596"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookstone Estates of Vandalia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vandalia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.