Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brookside Manor LLC

Organization Nursing Facility/Intermediate Care Facility · NPI 1457476640

Brookside Manor LLC is a Nursing Facility/Intermediate Care Facility in Centralia, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1740 W McCord St
Centralia, IL 62801-5808
Phone: (618) 532-2428
Fax: (618) 532-8305
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary) Taxonomy 313M00000X · Licence 00045096 (IL)

Record details

NPI number1457476640
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Middleton — Administrator · (618) 532-2428
NPI enumeratedMarch 20, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1740 W McCord St, Centralia, IL 62801-5808

Other providers in Centralia