NPIMap

Organization Active NPI

Alegria Living & Healthcare, Inc

Doing business as Brookside Assisted Living

  • Assisted Living Facility
  • Overbrook, KS
National Provider Identifier
1912457953
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ALEGRIA LIVING & HEALTHCARE, INC
Doing business as
Brookside Assisted Living
Practice address
702 W 7TH St
Overbrook, KS 66524-9496
Phone
(785) 665-7124
Fax
(866) 936-9557
NPI assigned
Oct 13, 2016
Last updated
Oct 26, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ALEGRIA LIVING & HEALTHCARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Scott G Averill, OWNER
Title
Ceo / Owner
Phone
(785) 224-3453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

702 W 7TH St
Overbrook, KS 66524-9496

Mailing address

702 W 7TH St
Overbrook, KS 66524-9496
Phone (785) 665-7124

Other names 1

  • Brookside Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alegria Living Healthcare Inc2 organizations share this tax ID, including this one
Part of
Alegria Living Healthcare Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

702 W 7th St
Overbrook, KS 66524
Phone (785) 224-9488

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1912457953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 W 7TH ST",
            "city": "OVERBROOK",
            "state": "KS",
            "postal_code": "665249496",
            "telephone_number": "785-665-7124",
            "fax_number": "866-936-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W 7TH ST",
            "city": "OVERBROOK",
            "state": "KS",
            "postal_code": "665249496",
            "telephone_number": "785-665-7124",
            "fax_number": "866-936-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEGRIA LIVING & HEALTHCARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALEGRIA LIVING & HEALTHCARE, INC",
        "enumeration_date": "2016-10-13",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "AVERILL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "785-224-3453",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookside Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overbrook, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.