BROOKDALE RIVER VALLEY TUALATIN
NPI 1003129537
Assisted Living Facility in Tualatin, OR

Active since July 26, 2010CLIA 38D2018050 · Waiver
19200 SW 65TH AVE, TUALATIN, OR 97062(503) 692-3192(503) 691-9836 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2020, May 16, 2016 (2 updates tracked since 2016).

About Brookdale River Valley Tualatin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKDALE RIVER VALLEY TUALATIN (NPI 1003129537) is a healthcare organization registered as an assisted living facility in Tualatin, Oregon and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through December 21, 2026 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1003129537
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEMERITUS CORPORATION
Location Address19200 SW 65TH AVETualatin, OR 97062-8875
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Fax(503) 691-9836
Organization SubpartYesParent: Brookdale Senior Living Inc
Authorized OfficialJoanne K LeskowiczSenior Vice President · (414) 918-5000
Enumeration DateJuly 26, 2010
Last NPPES UpdateJuly 21, 20202 updates tracked since enumeration
NPPES CertifiedJuly 21, 2020
NPI 1003129537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
19200 SW 65TH AVE, Tualatin, OR 97062

Other Names 1

Doing Business AsBrookdale River Valley Tualatin

Other Identifiers 2

Medicaid524966OR
Medicaid521957OR

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2018050

Brookdale River Valley Tualatin · Tualatin, OR
Active · expires Dec 21, 2026
CLIA Number38D2018050
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 22, 2024
Certificate Expiration DateDecember 21, 2026
Laboratory DirectorAnil H. Gorania
Laboratory Phone(503) 692-3192
Laboratory LocationBrookdale River Valley Tualatin19200 SW 65th Avenue, Tualatin, OR 97062
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emeritus Corporation's NPI number?

The NPI number for Emeritus Corporation is 1003129537. It was assigned to this organization in the NPPES registry on July 26, 2010. The provider is doing business as Brookdale River Valley Tualatin.

Where is Emeritus Corporation located?

Emeritus Corporation is located at 19200 SW 65th Ave, Tualatin, OR 97062. The listed phone number is (503) 692-3192.

What is Emeritus Corporation's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Emeritus Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2018050) is associated with this NPI, valid through December 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Emeritus Corporation was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.