Brookside Care LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

BROOKSIDE CARE LLC

Practice address

5078 Solvel St
Kalamazoo, MI 49004-1915

Phone

(269) 373-3842

NPI assigned

Nov 6, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Adam Frazier

Title

Owner

Phone

(269) 373-3842

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1134558455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 244",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490040244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5078 SOLVEL ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490041915",
            "telephone_number": "269-373-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-373-3842",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Brooks, MD
• Kelle Lyn Brooks, LMSW
• Leatrice Renee Brooks, PH.D.
• Nire Brooks
• William Douglas Brooks, ED.D.
• Debra A Broughman, LMSW, CAADC
• Sade Broussard
• Mason Brouwer
• Benjamin R Brower
• Alan E. Brown, LMSW, LMFT

• Assisted Living Facility (Mental Illness) in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Assisted Living Facility (Mental Illness) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.