Brookstone Village Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

264603 Issued in NE

Legal business name

BROOKSTONE VILLAGE INC

Practice address

4330 S 144TH St
Omaha, NE 68137-1051

Phone

(402) 614-4000

Fax

(402) 614-4001

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Jack Dean Vetter

Title

President

Phone

(402) 895-3932

Specialties & licenses 1

Addresses

Other names 1

• Brookstone Village Doing business as

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1467560433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 S 144TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371051",
            "telephone_number": "402-614-4000",
            "fax_number": "402-614-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 S 144TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371051",
            "telephone_number": "402-614-4000",
            "fax_number": "402-614-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSTONE VILLAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-895-3932"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "264603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookstone Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Parisian Brooks
• Rebecca Anne Brooks, R.T. (R)
• Tasha Brooks, CNA
• Travis Brooks
• Brooksiderx LLC
• Jenaye Broom
• Ashlee Laine Broshar, PHARM D
• Stacey Broski, OTD, OTR/L
• Alison Marie Bross, APRN
• Margaret Kay Bross, RN

• Skilled Nursing Facility in Omaha, NE
• Providers in Omaha, NE by specialty
• Skilled Nursing Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.