Active NPIOrganization

Brookside Drive Operating LLC

Skilled Nursing Facility in Little Rock, Arkansas

NPI Number1043003643
Practice location
800 Brookside Dr, Little Rock, AR 72205-1644
Fax
—
Last updated
November 28, 2025

Brookside Drive Operating LLC is a healthcare organization based in Little Rock, AR. Brookside Drive Operating LLC practices in Little Rock, AR. The NPI Number for Brookside Drive Operating LLC is 1043003643. The current practice location address for Brookside Drive Operating LLC is 800 Brookside Dr, Little Rock, AR 72205-1644 and can be reached out via phone at 501-224-3940.

Provider Profile Details

NPI Number
1043003643
Provider Name
Brookside Drive Operating LLC
Provider Entity Type
Organization
Address
800 Brookside Dr, Little Rock, AR 72205-1644
Phone Number
501-224-3940
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Israel Ganz · Director · 732-366-5705
Other Names
The Blossoms At Breckenridge Rehab & Nursing Center (Doing Business As)
Provider Enumeration Date
May 27, 2025
Last Update Date
November 28, 2025
Certification Date
November 28, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
800 Brookside Dr
Little Rock, AR 72205-1644
Zip
72205-1644
Phone Number
501-224-3940
Little Rock, AR 72205Get directions →

Provider Business Mailing Address Details

Address
1999 Cedarbridge Ave Ste 3B
Lakewood, NJ 08701-7048
City
Lakewood
State
NJ
Zip
08701-7048
Phone Number
732-366-5705

License Information

Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brookside Drive Operating LLC?

The NPI number of Brookside Drive Operating LLC is 1043003643. It was assigned on May 27, 2025 and is currently active in the NPPES registry.

What is the specialty of Brookside Drive Operating LLC?

Brookside Drive Operating LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does Brookside Drive Operating LLC practice?

The practice location is 800 Brookside Dr, Little Rock, AR 72205-1644. The office can be reached at 501-224-3940 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043003643 directly on the NPPES registry website.

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