Brookside SNF Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BROOKSIDE SNF OPERATIONS LLC

Practice address

614 Hastings LN
Warrenton, VA 20186-2110

Phone

(540) 347-4770

NPI assigned

Apr 19, 2021

Organization subpart

No

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

Authorized official

Name

Joseph Lieberman

Title

Director of Financial Operations

Phone

(646) 275-4510

Specialties & licenses 1

Addresses

Other names 1

• Brookside Rehab & Nursing Center Doing business as

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1568043768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 BROADWAY FL 2",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981246",
            "telephone_number": "516-855-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 HASTINGS LN",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862110",
            "telephone_number": "540-347-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCIAL OPERATIONS",
        "authorized_official_telephone_number": "646-275-4510"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookside Rehab & Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Braces and Orthotics, LLC
• Christopher Dean Bradshaw, LPC
• Melissa Braun, NP
• Kadijatu Brew, FNP-BC
• F. Elizabeth Brooker, LCSW
• Christopher J Brown, MD
• Joseph Adam Brown, MD
• Brantley Bruner, LMSW
• Laura Leslie Brykczynski, O.D.
• Audrey Ludwig Bunch, PA-C, M.S.

• All providers in Warrenton, VA
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.