Active NPI
BSMC Limited Liability Company
Doing business as Brookside Inn
- Skilled Nursing Facility
- Castle Rock, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0380
- Legal business name
- BSMC LIMITED LIABILITY COMPANY
- Doing business as
- Brookside Inn
- Practice address
- 1297 S Perry St
Castle Rock, CO 80104-1977 - Phone
- (303) 688-2500
- Fax
- (303) 688-2600
- NPI assigned
- Aug 2, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sarah Schumann
- Title
- VP of Operations
- Phone
- (303) 688-2500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0380 | CO | Primary |
Addresses
Primary practice location
1297 S Perry St
Castle Rock, CO 80104-1977
Mailing address
1297 S Perry St
Castle Rock, CO 80104-1977
Phone (303) 688-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05652813 | Medicaid | CO |
Other names 1
- Brookside Inn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060419000160 | CO | Part A Provider - Skilled Nursing Facility | 9537178553 | Practice locations: Castle Rock, CO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1124029053. Details of each certification follow.
Skilled nursing facility certification: CCN 065361
- Legal name
- BSMC LIMITED LIABILITY COMPANY
- Doing business as
- BROOKSIDE INN
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 5, 1997
- Last certification
- Feb 8, 2024
- Beds
- 126
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Aug 26, 1996 in CO
- Enrollment address
- 1297 S Perry Street
Brookside Inn
Castle Rock, CO 80104-1977 - Nursing home name
- BROOKSIDE INN
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Brookside Inn
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 5, 1997
- Medicare certification status
- Active
- Certified beds
- 126
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D0973510 | Brookside Inn | Certificate of waiver | May 7, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Frederick a Schumann | 5% Or Greater Direct Ownership Interest | Apr 4, 1985 | 50% |
| Schumann Development and Management Corporation | Operational/Managerial Control | Mar 9, 2010 | |
| Devona K Schumann | 5% Or Greater Direct Ownership Interest | Apr 4, 1985 | 50% |
| Sarah C Schumann | Operational/Managerial Control | Mar 9, 2010 |
Practitioners & affiliated clinicians
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": "1122940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268265600000",
"number": "1124029053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1297 S PERRY ST",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801041977",
"telephone_number": "303-688-2500",
"fax_number": "303-688-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1297 S PERRY ST",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801041977",
"telephone_number": "303-688-2500",
"fax_number": "303-688-2600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BSMC LIMITED LIABILITY COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-02",
"last_updated": "2010-03-11",
"status": "A",
"authorized_official_last_name": "SCHUMANN",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "303-688-2500",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CO",
"license": "0380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05652813",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brookside Inn",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.