Bridge-Brookside, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRIDGE-BROOKSIDE, LLC

Doing business as

The Brookside

Practice address

93 Manalapan Ave
Freehold, NJ 07728-1626

Phone

(732) 303-8800

NPI assigned

Oct 30, 2015

Organization subpart

No

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

Authorized official

Name

Steven S Klein

Title

M of GP of Member

Phone

(925) 457-7892

Specialties & licenses 1

Addresses

Other names 1

• The Brookside Doing business as

Locations

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1316319270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 MT DIABLO BLVD STE 410",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964439",
            "telephone_number": "925-457-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MANALAPAN AVE",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281626",
            "telephone_number": "732-303-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE-BROOKSIDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "M OF GP OF MEMBER",
        "authorized_official_telephone_number": "925-457-7892"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Brookside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.