BROOKDALE WICKLIFFE
NPI 1063736213
Assisted Living Facility in Wickliffe, OH

Active since March 17, 2010
30630 RIDGE RD, WICKLIFFE, OH 44092(440) 943-2050 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brookdale Wickliffe NPPES

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

BROOKDALE WICKLIFFE (NPI 1063736213) is a healthcare organization registered as an assisted living facility in Wickliffe, Ohio and active in the NPI registry since March 2010. The organization lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1063736213
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBLC THE FAIRWAYS LH LLC
Location Address30630 RIDGE RDWickliffe, OH 44092-1166
Mailing Address30630 Ridge RdWickliffe, OH 44092-1166 · (440) 943-2050
Organization SubpartYesParent: Brookdale Senior Living Inc
Authorized OfficialJoanne K LeskowiczSenior Vice President · (414) 918-5000
Enumeration DateMarch 17, 2010
Last NPPES UpdateNovember 25, 2020
NPPES CertifiedNovember 25, 2020
NPI 1063736213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in OH · 2201R
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.
30630 RIDGE RD, Wickliffe, OH 44092

Other Names 1

Doing Business AsBrookdale Wickliffe

Other Identifiers 1

Medicaid3050728OH

Other Providers at the Same Location NPPES 3

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

Assisted Living Facility
30630 RIDGE RD
WICKLIFFE, OH 44092
Occupational Therapist
30630 RIDGE RD
WICKLIFFE, OH 44092
Assisted Living Facility
30630 RIDGE RD
WICKLIFFE, OH 44092

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 Blc The Fairways Lh LLC's NPI number?

The NPI number for Blc The Fairways Lh LLC is 1063736213. It was assigned to this organization in the NPPES registry on March 17, 2010. The provider is doing business as Brookdale Wickliffe.

Where is Blc The Fairways Lh LLC located?

Blc The Fairways Lh LLC is located at 30630 Ridge Rd, Wickliffe, OH 44092. The listed phone number is (440) 943-2050.

What is Blc The Fairways Lh LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Blc The Fairways Lh LLC was last updated on November 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.