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BROOKDALE SENIOR LIVING COMMUNITIES INC. NPI 1043376221


NPI Information

NPI: 1043376221
Provider Name: BROOKDALE SENIOR LIVING COMMUNITIES, INC.

Doing Business As: CLARE BRIDGE OF SAN ANTONIO

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 45D2195505

Address:
14595 NACOGDOCHES RD
SAN ANTONIO, TX
ZIP 78247
Phone: (210) 653-6100
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BROOKDALE SENIOR LIVING COMMUNITIES, INC. is an assisted living facility in San Antonio, TX. 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 1043376221. The provider is registered as an organization entity type.
The provider Is Doing Business As Clare Bridge Of San Antonio.

The provider's business location address is:

14595 NACOGDOCHES RD
SAN ANTONIO, TX
ZIP 78247-712
Phone: (210) 653-6100

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 CLIA number assigned to this NPI record is 45D2195505 - assisted living facility with a certificate type of Certificate of Waiver.

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


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000624700MEDICAIDTEXAS

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: 4/28/2024

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