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BROOKDALE SENIOR LIVING COMMUNITIES INC. NPI 1710043153

NPI Profile

NPI: 1710043153
Provider Name: BROOKDALE SENIOR LIVING COMMUNITIES, INC.

Doing Business As: WYNWOOD OF ROGUE VALLEY

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3033 BARNETT RD
MEDFORD, OR
ZIP 97504
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Phone: (541) 776-7600

BROOKDALE SENIOR LIVING COMMUNITIES, INC. is an assisted living facility in Medford, OR. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BROOKDALE SENIOR LIVING COMMUNITIES, INC. NPI is 1710043153. The provider is registered as an organization entity type.
The provider Is Doing Business As Wynwood Of Rogue Valley.

The provider's business location address is:

3033 BARNETT RD
MEDFORD, OR
ZIP 97504
Phone: (541) 776-7600

The provider's authorized official is Mark Ohlendorf .
The authorized official title is Co-president and has the following contact phone number (414) 918-5000.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 3/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1534342MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 7/3/2020

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