BROOKDALE SENIOR LIVING COMMUNITIES INC NPI 1750522389

NPI Information

NPI: 1750522389
Provider Name: BROOKDALE SENIOR LIVING COMMUNITIES INC

Doing Business As: BROOKDALE SALEM

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

Address:
1916 S LINCOLN AVE
SALEM, OH
ZIP 44460
Phone: (330) 337-9096
Get Directions

BROOKDALE SENIOR LIVING COMMUNITIES INC is an assisted living facility in Salem, 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 1750522389. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Salem.

The provider's business location address is:

1916 S LINCOLN AVE
SALEM, OH
ZIP 44460-385
Phone: (330) 337-9096
Fax: (330) 332-9927

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 36D0972291 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/11/2009 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
1	310400000X	Assisted Living Facility		2214RCF	OHIO	Yes

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
1	2932465	MEDICAID	OHIO

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

NPI Synchronization or Removal

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