Brooke Manor Inc
Organization Active NPI Assisted Living Facility · Brookston, MN
NPI 1285073783 · NPPES record last updated Jun 18, 2013
Key facts
- NPI
- 1285073783
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 362531 (MN)
- Legal business name
- BROOKE MANOR INC
- Practice address
- 4878 Hwy 31
Brookston, MN 55711 - Phone
- (218) 453-5262
- Fax
- (218) 453-1023
- NPI assigned
- Jun 18, 2013
- Organization subpart
- No
Authorized official
- Name
- Virginia Tuominen
- Title
- President
- Phone
- (218) 590-7322
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1050238 | Brooke Manor Inc | Certificate of waiver | Jan 29, 2028 |
National Provider Directory
Locations
4878 Highway 31
Brookston, MN 55711
Phone (218) 453-5262
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 362531 | MN | Yes |
Addresses
Primary practice location
4878 Hwy 31
Brookston, MN 55711
Mailing address
4660 Aune Rd
Saginaw, MN 55779-9682
Phone (218) 453-5262
Other providers in Brookston, MN
- Ajbb Duluth Properties
- Abby Johnsen
- Jennier Renee Johnson
- Peterson Colonial Homes, Inc.
- Sharon Shofner Adult Foster Care
- Andrew Timothy Shofner
All providers in Brookston, MN · Assisted Living Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.