Provider Type Icon

BROOKDALE SENIOR LIVING COMMUNITIES INC NPI 1689901563


NPI Information

NPI: 1689901563
Provider Name: BROOKDALE SENIOR LIVING COMMUNITIES INC

Doing Business As: BROOKDALE CANTON

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

CLIA Number: 36D0971937

Address:
1119 PERRY DR NW
CANTON, OH
ZIP 44708
Phone: (330) 479-1121
Get Directions

BROOKDALE SENIOR LIVING COMMUNITIES INC is an assisted living facility in Canton, 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 1689901563. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Canton.

The provider's business location address is:

1119 PERRY DR NW
CANTON, OH
ZIP 44708-374
Phone: (330) 479-1121
Fax: (330) 479-1756

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 36D0971937 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2009 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility2197ROHIOYes

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
13042184MEDICAIDOHIO

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: 11/14/2023

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.