# BROOKSIDE HEALTHCARE & REHABILITATION CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851396972
- **Authorized official:** MR. BEN FRIEDMAN (CONTROLLER)
- **Authorized official phone:** (732) 262-2255

## Contact information

- **Practice address:** 2630 WOODLAND RD, ROSLYN, PA 19001-3013
- **Practice address phone:** (215) 884-6776
- **Practice address fax:** (215) 884-4099
- **Mailing address:** 2630 WOODLAND RD, ROSLYN, PA 19001-3013
- **Mailing address phone:** (215) 884-6776
- **Mailing address fax:** (215) 884-4099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 181502 | PA | Yes |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 10/10/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0019531330001 | — | PA |