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BROOKDALE SENIOR LIVING COMMUNITIES INC. NPI 1578927042


NPI Information

NPI: 1578927042
Provider Name: BROOKDALE SENIOR LIVING COMMUNITIES, INC.

Doing Business As: BROOKDALE EL CAMINO

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

CLIA Number: 06D2198635

Address:
4723 SURFWOOD LN
PUEBLO, CO
ZIP 81005
Phone: (719) 561-1400
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BROOKDALE SENIOR LIVING COMMUNITIES, INC. is an assisted living facility in Pueblo, CO. 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 1578927042. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale El Camino.

The provider's business location address is:

4723 SURFWOOD LN
PUEBLO, CO
ZIP 81005-627
Phone: (719) 561-1400
Fax: (719) 561-1900

The provider's authorized official is Bryan D. Richardson .
The authorized official title is Executive Vice President and has the following contact phone number (414) 918-5000.

The CLIA number assigned to this NPI record is 06D2198635 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2016 and was last updated on 4/11/2016.


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

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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