BROOKDALE BOISE PARKCENTER - NPI 1083959902 - Assisted Living Facility in Boise, ID

Q: What is Brookdale Senior Living Communities, Inc.'s specialty?

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

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About Brookdale Boise Parkcenter NPPES

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

BROOKDALE BOISE PARKCENTER (NPI 1083959902) is a healthcare organization registered as an assisted living facility in Boise, Idaho and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through January 15, 2027 and lists Joanne Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1083959902

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBROOKDALE SENIOR LIVING COMMUNITIES, INC.

Location Address739 E PARKCENTER BLVDBoise, ID 83706-6511

Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647

Phone(208) 338-5600

Organization SubpartYesParent: Brookdale Senior Living Inc

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

Enumeration DateDecember 4, 2012

Last NPPES UpdateMarch 30, 2022

NPPES CertifiedMarch 30, 2022

✔ NPI 1083959902 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.

739 E PARKCENTER BLVD, Boise, ID 83706

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Other Names 1

Doing Business AsBrookdale Boise Parkcenter

Other Identifiers 1

MedicaidA000919ID

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 13D2090211

Brookdale Boise Parkcenter Assisted Living · Boise, ID

Active · expires Jan 15, 2027

CLIA Number13D2090211

Laboratory TypeAssisted Living Facility

Certificate Effective DateJanuary 16, 2025

Certificate Expiration DateJanuary 15, 2027

Laboratory DirectorCathy Matthews

Laboratory Phone(208) 338-5600

Laboratory LocationBrookdale Boise Parkcenter Assisted Living739 E Parkcenter Blvd, Boise, ID 83706

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 Brookdale Senior Living Communities, Inc.'s NPI number?

The NPI number for Brookdale Senior Living Communities, Inc. is 1083959902. It was assigned to this organization in the NPPES registry on December 4, 2012.

Where is Brookdale Senior Living Communities, Inc. located?

Brookdale Senior Living Communities, Inc. is located at 739 E Parkcenter Blvd, Boise, ID 83706. The listed phone number is (208) 338-5600.

What is Brookdale Senior Living Communities, Inc.'s specialty?

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

Does Brookdale Senior Living Communities, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2090211) is associated with this NPI, valid through January 15, 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 Brookdale Senior Living Communities, Inc. was last updated on March 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.