Brookside Healthcare & Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

181502 Issued in PA

Legal business name

BROOKSIDE HEALTHCARE & REHABILITATION CENTER LLC

Practice address

2630 Woodland Rd
Roslyn, PA 19001-3013

Phone

(215) 884-6776

Fax

(215) 884-4099

NPI assigned

Jun 15, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Ben Friedman

Title

Controller

Phone

(732) 262-2255

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Skilled nursing facility certification: CCN 395227

Legal name

BROOKSIDE HEALTHCARE & REHABILITATION CENTER LLC

Doing business as

BROOKSIDE HEALTHCARE & REHAB CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 18, 1970

Last certification

Nov 1, 2024

Beds

120

Ownership / control type

Corporation

Multi-facility organization

Nationwide Healthcare Services

Organization structure

LLCProprietary

Incorporated

Jul 1, 2003 in PA

Enrollment address

2630 Woodland Rd
Roslyn, PA 19001-3013

Nursing home name

BROOKSIDE HEALTHCARE & REHABILITATION CENTER

Affiliated entity

NATIONWIDE HEALTHCARE SERVICES

Listed as

Brookside Healthcare & Rehabilitation CenterCCN 395227

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

May 18, 1970

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120113.0 residents per day on average

Chain

Nationwide Healthcare Services7 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Eric Graf

  • Internal Medicine Physician
  • Plymouth Meeting, PA
  • NPI 1316108269
  NPD (past)
• Larry Keller, DO

  • Internal Medicine Physician
  • Flourtown, PA
  • NPI 1528064094
  NPD (past)
• Jennifer Orr, MD

  • Family Medicine Physician
  • Warminster, PA
  • NPI 1538165915
  NPD (past)
• Phuong T. Tien, D.O.

  • Family Medicine Physician
  • Abington, PA
  • NPI 1497076673
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Larry Keller, DO

  • Internal Medicine Physician
  • Flourtown, PA
  • NPI 1528064094

  Nursing home

  Care Compare affiliation
• Jennifer Orr, MD

  • Family Medicine Physician
  • Warminster, PA
  • NPI 1538165915

  Nursing home

  Care Compare affiliation
• Phuong T. Tien, D.O.

  • Family Medicine Physician
  • Abington, PA
  • NPI 1497076673

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1851396972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 WOODLAND RD",
            "city": "ROSLYN",
            "state": "PA",
            "postal_code": "190013013",
            "telephone_number": "215-884-6776",
            "fax_number": "215-884-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 WOODLAND RD",
            "city": "ROSLYN",
            "state": "PA",
            "postal_code": "190013013",
            "telephone_number": "215-884-6776",
            "fax_number": "215-884-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE HEALTHCARE & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "732-262-2255",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "181502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019531330001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abington Memorial Hospital
• Kathleen Belaong, OTR./L
• Antonio Andrew Berardi, PHARMD.
• Melanie P Black
• Robert J Brett, DDS
• Ana Mercedes Caro, PSY.D.
• Barry Cleaver, PTA
• Craig Cooper, PTA
• Dublin Woods Family Dentistry and Assoc Inc
• Exceptional Connections, Inc

• Skilled Nursing Facility in Roslyn, PA
• Providers in Roslyn, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.