Organization · Type 2 NPI

Five Star Brookside LLC

Skilled Nursing Facility · Louisville, KY

NPI number 1811942881 Active

Practice location

200 Brookside Dr
Louisville, KY 40243-1277

Call (502) 245-3048 Map

Fax (502) 244-6327

Mailing address

200 Brookside Drive
Louisville, KY 40243

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	100551 (KY)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

8 other providers at this address

Other skilled nursing facility providers in Louisville

See all in Louisville →

NPI record

NPI: 1811942881
Entity type: Organization (Type 2)
Issued: May 24, 2006
Last updated: Mar 28, 2019
Status: Active
Subpart: Yes of Five Star Brookside LLC

Other names

<unavail>
The Forum at Brookside · doing business as
The Forum at Brookside · doing business as

Authorized official

Katherine E Potter
President & Chief Executive Officer
(617) 796-8387

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1811942881

Five Star Brookside LLC's National Provider Identifier is 1811942881, issued on May 24, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Louisville, KY. The record was last updated on Mar 28, 2019.