Organization Active NPI

Alegria Living & Healthcare, Inc.

  • Skilled Nursing Facility
  • Overbrook, KS
National Provider Identifier
1114911237
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N070001 Issued in KS
Legal business name
ALEGRIA LIVING & HEALTHCARE, INC.
Practice address
700 W 7TH St
Overbrook, KS 66524-9496
Phone
(785) 665-7124
Fax
(785) 665-7026
NPI assigned
Sep 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Mr. Scott G Averill
Title
Owner / Administrator
Phone
(785) 665-7124

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Skilled Nursing Facility 314000000X N070001 KS Primary

Addresses

Primary practice location

700 W 7TH St
Overbrook, KS 66524-9496

Mailing address

700 W 7TH St
Overbrook, KS 66524-9496
Phone (785) 665-7124

Other identifiers 3

IdentifierTypeStateIssuer
1263OtherKSBLUE CROSS BLUE SHIELD
200263560AOtherKSHCBS PROVIDER NUMBER
200263730AMedicaidKS

Other names 2

  • Brookside Health & Rehab Doing business as
  • Brookside Retirement Community Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040901001293 KS Part A Provider - Skilled Nursing Facility 0244205169 Practice locations: Overbrook, KS

Skilled nursing facility certification: CCN 175145

Legal name
ALEGRIA LIVING & HEALTHCARE, INC.
Doing business as
BROOKSIDE RETIREMENT COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 27, 1985
Last certification
Dec 11, 2024
Beds
72 (60 certified)
Ownership / control type
Corporation
Multi-facility organization
Allegria
Most recent change of ownership
Jul 1, 2004
Organization structure
CorporationProprietary
Enrollment address
700 W 7TH St
Overbrook, KS 66524-9496
Nursing home name
BROOKSIDE RETIREMENT COMMUNITY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Brookside Retirement CommunityCCN 175145
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 27, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6047.7 residents per day on average
Penalties (3 years)
1Fines totaling $14,069

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Alegria Living Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alegria Living & Healthcare, Inc. Organization, Overbrook, KS Created for acquisition, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2014 100%
Sharrell Davidson Individual W-2 Managing EmployeeBusiness Office Manager Jun 20, 2016 100%
Operational/Managerial Control Nov 19, 2024
Scott Averill Individual Contracted Managing EmployeeAd; Jan 1, 2024 100%
5% Or Greater Direct Ownership InterestOwner / Ceo Jul 1, 2004 100%
Corporate OfficerCeo Jan 1, 2018 100%
Operational/Managerial Control Nov 13, 2024
Adp of the SNF Nov 22, 2024
Direct Ownership Interest Jul 1, 2004 4.99%
Tammy Conklin Individual W-2 Managing EmployeeHuman Resources Director Jul 13, 2004 100%
Operational/Managerial Control Nov 19, 2024
Adp of the SNF Nov 22, 2024
Tracy Jones Individual W-2 Managing EmployeeCertified Dietary Manager Jul 22, 2024 100%
Operational/Managerial Control Nov 19, 2024
Adp of the SNF Nov 22, 2024
Susan Averill Individual Contracted Managing EmployeeCoo Social Services Jan 1, 2018 50%
5% Or Greater Indirect Ownership InterestSocial Services Coo Jul 1, 2004 50%
Corporate OfficerSocial Services Jan 1, 2018 50%
Operational/Managerial Control Nov 19, 2024
Adp of the SNF Nov 22, 2024
Indirect Ownership Interest Jul 1, 2004 4.99%
Joya Living & Healthcare Inc Organization, Overbrook, KS Management services company Operational/Managerial Control Nov 13, 2024
Adp of the SNF Nov 22, 2024
Denise Hoback Individual Contracted Managing EmployeeCfo Jan 1, 2018 100%
Corporate OfficerCfo Jan 1, 2018 100%
Operational/Managerial Control Nov 13, 2024
Adp of the SNF Nov 22, 2024
Nathan Averill Individual Contracted Managing EmployeeMaintenance Director Oct 15, 2022 100%
Operational/Managerial Control Nov 19, 2024
Peggy Wessel Individual W-2 Managing EmployeeDirector of Nurses Jun 3, 2024 100%
Operational/Managerial Control Nov 13, 2024
Adp of the SNF Nov 22, 2024
Ciara Jones Individual W-2 Managing EmployeeSocial Service Designee Oct 13, 2024 100%
Operational/Managerial Control Nov 19, 2024

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1114911237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W 7TH ST",
            "city": "OVERBROOK",
            "state": "KS",
            "postal_code": "665249496",
            "telephone_number": "785-665-7124",
            "fax_number": "785-665-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 7TH ST",
            "city": "OVERBROOK",
            "state": "KS",
            "postal_code": "665249496",
            "telephone_number": "785-665-7124",
            "fax_number": "785-665-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEGRIA LIVING & HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "AVERILL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER / ADMINISTRATOR",
        "authorized_official_telephone_number": "785-665-7124",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N070001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1263",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCBS PROVIDER NUMBER",
            "identifier": "200263560A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200263730A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookside Health & Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookside Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overbrook, KS

Sources for this page

Verify at the official NPI Registry.