MEDICARE: BROOKSIDE ADULT DAY HEALTH CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center	617	MO

General Provider Information

NPI Number	:	1639169915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROOKSIDE ADULT DAY HEALTH CARE, LLC

Provider Business Mailing Address
First Line	:	400 W 57TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64113-1230
Country	:	US
Telephone Number	:	816-926-9400
Fax Number	:	816-926-9300

Provider Business Practice Location Address
First Line	:	400 W 57TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64113-1230
Country	:	US
Telephone Number	:	816-926-9400
Fax Number	:	816-926-9300

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. CHRISTINE RUEBEL-MARSHALL
Credential	:	MSW
Telephone Number	:	816-926-9400

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1902948581 — DR. JENNIFER LOUISE FLESKE D.C.
Practice Location Address:

1230 W 67TH TER
KANSAS CITY, MO
64113-1941

Practice Phone: 620-257-1100
Practice Fax:

1902832611 — NORTHLAND BONE & JOINT, INC
Practice Location Address:

2790 CLAY EDWARDS DR STE 1230
NORTH KANSAS CITY, MO
64116-3276

Practice Phone: 816-214-9345
Practice Fax: 816-214-9330

1063440915 — JANESE B SURBER APRN
Practice Location Address:

2790 CLAY EDWARDS DR , STE 1230
NORTH KANSAS CITY, MO
64116-3276

Practice Phone: 816-214-9300
Practice Fax: 816-214-9330

1275566655 — DIALYSIS CLINIC, INC.
Practice Location Address:

6530 TROOST AVE
KANSAS CITY, MO
64131-1230

Practice Phone: 816-363-8228
Practice Fax: 816-363-1445

1750475836 — DR. STEVEN B SMITH M.D.
Practice Location Address:

2790 CLAY EDWARDS DR STE 1230
N KANSAS CITY, MO
64116-3253

Practice Phone: 816-841-3805
Practice Fax: 816-214-9330

1891889978 — JAMES P REARDON M.D.
Practice Location Address:

2790 CLAY EDWARDS DR , STE 1230
NORTH KANSAS CITY, MO
64116-3276

Practice Phone: 816-214-9300
Practice Fax: 816-214-9330

Directions to “BROOKSIDE ADULT DAY HEALTH CARE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.