BROOKDALE SENIOR LIVING COMMUNITIES INC. NPI 1679875066

NPI Information

  • NPI: 1679875066
  • Provider Name: BROOKDALE SENIOR LIVING COMMUNITIES, INC.
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: BROOKDALE MANDARIN CENTRAL
  • CLIA Number: 10D0926743
  • Address: 10875 OLD SAINT AUGUSTINE RD
    JACKSONVILLE, FL
    ZIP 32257
  • Phone: (904) 880-4040

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NPI Details

BROOKDALE SENIOR LIVING COMMUNITIES, INC. is an assisted living facility in Jacksonville, FL. 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 1679875066. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Mandarin Central.

The provider's business location address is:

10875 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL
ZIP 32257-091
Phone: (904) 880-4040
Fax: (904) 880-4096

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 10D0926743 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2010 and was last updated on 5/2/2023.

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

What is NPI?

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This page was last updated on: 3/30/2025

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