BROOKDALE SENIOR LIVING COMMUNITIES INC NPI 1093959777

NPI Information

  • NPI: 1093959777
  • Provider Name: BROOKDALE SENIOR LIVING COMMUNITIES INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: BROOKDALE CENTENNIAL PARK
  • CLIA Number: 36D0972140
  • Address: 350 UNION ROAD
    ENGLEWOOD, OH
    ZIP 45322
  • Phone: (937) 832-8500

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NPI Details

BROOKDALE SENIOR LIVING COMMUNITIES INC is an assisted living facility in Englewood, OH. 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 1093959777. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Centennial Park.

The provider's business location address is:

350 UNION ROAD
ENGLEWOOD, OH
ZIP 45322-196
Phone: (937) 832-8500

The provider's authorized official is Joanne K Leskowicz .
The authorized official title is Senior Vice President and has the following contact phone number (414) 918-5000.

The CLIA number assigned to this NPI record is 36D0972140 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2009 and was last updated on 11/17/2020.

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 Facility2154ROHIOYes

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
12961077MEDICAIDOHIO

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: 3/30/2025

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