BROOKDALE FLAGSTAFF
NPI 1043422801
Assisted Living Facility in Flagstaff, AZ

Active since May 04, 2007CLIA 03D2127432 · Waiver
2100 S WOODLANDS VILLAGE BLVD, FLAGSTAFF, AZ 86001(928) 779-7045(928) 779-0098 Get Directions Write a Review

NPPES record last updated: May 12, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brookdale Flagstaff NPPES

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

BROOKDALE FLAGSTAFF (NPI 1043422801) is a healthcare organization registered as an assisted living facility in Flagstaff, Arizona and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Bryan Richardson, Evp, Chief Admin. Officer, as its authorized official.

NPPES Registry Identity

NPI1043422801
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEMERITUS CORPORATION
Location Address2100 S WOODLANDS VILLAGE BLVDFlagstaff, AZ 86001
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Fax(928) 779-0098
Organization SubpartNo
Authorized OfficialBryan RichardsonEvp, Chief Admin. Officer · (615) 564-8131
Enumeration DateMay 4, 2007
Last NPPES UpdateMay 12, 2016
NPI 1043422801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in AZ · ALC5027
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.

Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X · License ALC5027 (AZ)
2100 S WOODLANDS VILLAGE BLVD, Flagstaff, AZ 86001

Other Names 1

Doing Business AsBrookdale Flagstaff

Other Identifiers 1

Medicaid952780AZ

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 03D2127432

Brookdale Flagstaff · Flagstaff, AZ
Active · expires Mar 13, 2027
CLIA Number03D2127432
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorLeslie A. Paquette
Laboratory Phone(928) 779-7045
Laboratory LocationBrookdale Flagstaff2100 S Woodlands Village Blvd, Flagstaff, AZ 86001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
2100 S WOODLANDS VILLAGE BLVD
FLAGSTAFF, AZ 86001

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 1043422801. It was assigned to this organization in the NPPES registry on May 4, 2007. The provider is doing business as Brookdale Flagstaff.

Where is Emeritus Corporation located?

Emeritus Corporation is located at 2100 S Woodlands Village Blvd, Flagstaff, AZ 86001. The listed phone number is (928) 779-7045.

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 03D2127432) is associated with this NPI, valid through March 13, 2027. 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 May 12, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.