# ALEGRIA LIVING & HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brookside Health & Rehab, Brookside Retirement Community
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114911237
- **Authorized official:** MR. SCOTT G AVERILL (OWNER / ADMINISTRATOR)
- **Authorized official phone:** (785) 665-7124

## Contact information

- **Practice address:** 700 W 7TH ST, OVERBROOK, KS 66524-9496
- **Practice address phone:** (785) 665-7124
- **Practice address fax:** (785) 665-7026
- **Mailing address:** 700 W 7TH ST, OVERBROOK, KS 66524-9496
- **Mailing address phone:** (785) 665-7124
- **Mailing address fax:** (785) 665-7026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 314000000X | Skilled Nursing Facility | N070001 | KS | Yes |

## Other

- **Enumeration date:** 09/02/2005
- **Last updated:** 10/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1263 | BLUE CROSS BLUE SHIELD | KS |
| 01 | — | 200263560A | HCBS PROVIDER NUMBER | KS |
| 05 | — | 200263730A | — | KS |