Brooke Manor Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

362531 Issued in 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

Last updated

Jun 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Virginia Tuominen

Title

President

Phone

(218) 590-7322

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1285073783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 AUNE RD",
            "city": "SAGINAW",
            "state": "MN",
            "postal_code": "557799682",
            "telephone_number": "218-453-5262",
            "fax_number": "218-453-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4878 HWY 31",
            "city": "BROOKSTON",
            "state": "MN",
            "postal_code": "55711",
            "telephone_number": "218-453-5262",
            "fax_number": "218-453-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "TUOMINEN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-590-7322"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "362531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Brookston, MN
• Providers in Brookston, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.