Provider Type Icon

BKD BROOKDALE PLACE OF BROOKFIELD LLC NPI 1689076085


NPI Information

NPI: 1689076085
Provider Name: BKD BROOKDALE PLACE OF BROOKFIELD, LLC

Doing Business As: BROOKDALE PLACE OF BROOKFIELD

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

CLIA Number: 52D0984801

Address:
660 WOELFEL RD
BROOKFIELD, WI
ZIP 53045
Phone: (262) 789-7499
Get Directions

BKD BROOKDALE PLACE OF BROOKFIELD, LLC is an assisted living facility in Brookfield, WI. 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. BKD BROOKDALE PLACE OF BROOKFIELD, LLC NPI is 1689076085. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Place Of Brookfield.

The provider's business location address is:

660 WOELFEL RD
BROOKFIELD, WI
ZIP 53045-927
Phone: (262) 789-7499

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

The CLIA number assigned to this NPI record is 52D0984801 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2014 and was last updated on 9/17/2014.


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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.