BROOKDALE LAKE BRAZOS
NPI 1023239498
Assisted Living Facility in Waco, TX

Q: What is Esc IV, LP's NPI number?

The NPI number for Esc IV, LP is 1023239498. It was assigned to this organization in the NPPES registry on May 1, 2007. The provider is doing business as Brookdale Lake Brazos.

Q: What is Esc IV, LP's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Esc IV, LP was last updated on August 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.

Active since May 01, 2007CLIA 45D2194434 · Waiver

3801 MARTIN LUTHER KING JR BVD, WACO, TX 76708(254) 714-2222(254) 714-0023 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 21, 2020, Jun 13, 2016 (2 updates tracked since 2016).

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About Brookdale Lake Brazos NPPES

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

BROOKDALE LAKE BRAZOS (NPI 1023239498) is a healthcare organization registered as an assisted living facility in Waco, Texas and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1023239498

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameESC IV, LP

Location Address3801 MARTIN LUTHER KING JR BVDWaco, TX 76708

Mailing Address111 Westwood Pl Ste 400Brentwood, TN 37027-5057 · (615) 221-2250

Phone(254) 714-2222

Fax(254) 714-0023

Organization SubpartYesParent: Brookdale Senior Living Inc

Authorized OfficialJoanne K LeskowiczSenior Vice President · (414) 918-5000

Enumeration DateMay 1, 2007

Last NPPES UpdateAugust 21, 20202 updates tracked since enumeration

NPPES CertifiedAugust 21, 2020

✔ NPI 1023239498 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.

3801 MARTIN LUTHER KING JR BVD, Waco, TX 76708

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Other Names 1

Doing Business AsBrookdale Lake Brazos

Other Identifiers 1

MedicaidF500300740TX

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 45D2194434

Brookdale Lake Brazos · Waco, TX

Active · expires Sep 29, 2026

CLIA Number45D2194434

Laboratory TypeAssisted Living Facility

Certificate Effective DateSeptember 30, 2024

Certificate Expiration DateSeptember 29, 2026

Laboratory DirectorAmber Adcock

Laboratory Phone(254) 714-2222

Laboratory LocationBrookdale Lake Brazos3801 N Martin Luther King Jr Blvd, Waco, TX 76708

CLIA data matches this NPI record on: 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 Esc IV, LP's NPI number?

The NPI number for Esc IV, LP is 1023239498. It was assigned to this organization in the NPPES registry on May 1, 2007. The provider is doing business as Brookdale Lake Brazos.

Where is Esc IV, LP located?

Esc IV, LP is located at 3801 Martin Luther King Jr Bvd, Waco, TX 76708. The listed phone number is (254) 714-2222.

What is Esc IV, LP's specialty?

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

Does Esc IV, LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2194434) is associated with this NPI, valid through September 29, 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 Esc IV, LP was last updated on August 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.