BROOKDALE PLACE OF ENGLEWOOD, LLC
NPI 1093405292
Assisted Living Facility in Englewood, OH

Active since May 10, 2023CLIA 36D0996118 · Waiver
95 W WENGER RD, ENGLEWOOD, OH 45322(937) 836-9617 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brookdale Place Of Englewood, Llc NPPES

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

BROOKDALE PLACE OF ENGLEWOOD, LLC (NPI 1093405292), doing business as Brookdale Englewood, is a healthcare organization registered as an assisted living facility in Englewood, Ohio and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through February 10, 2028 and lists Joanne Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1093405292
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBROOKDALE PLACE OF ENGLEWOOD, LLC
Location Address95 W WENGER RDEnglewood, OH 45322-2723
Mailing Address6737 W Washington St Ste 2300Milwaukee, WI 53214-5650 · (414) 918-5000
Organization SubpartNo
Authorized OfficialJoanne LeskowiczSenior Vice President · (414) 918-5000
Enumeration DateMay 10, 2023
NPPES CertifiedMay 10, 2023
NPI 1093405292 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.
95 W WENGER RD, Englewood, OH 45322

Other Names 1

Doing Business AsBrookdale Englewood

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 36D0996118

Brookdale Place Of Englewood · Englewood, OH
Active · expires Feb 10, 2028
CLIA Number36D0996118
Laboratory TypeOther
Certificate Effective DateFebruary 11, 2026
Certificate Expiration DateFebruary 10, 2028
Laboratory DirectorIda Hecht
Laboratory Phone(937) 836-9717
Laboratory LocationBrookdale Place Of Englewood95 West Wenger Road, Englewood, OH 45322
CLIA data matches this NPI record on: Address Name
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
95 W WENGER RD
ENGLEWOOD, OH 45322

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 Place Of Englewood, LLC's NPI number?

The NPI number for Brookdale Place Of Englewood, LLC is 1093405292. It was assigned to this organization in the NPPES registry on May 10, 2023. The provider is doing business as Brookdale Englewood.

Where is Brookdale Place Of Englewood, LLC located?

Brookdale Place Of Englewood, LLC is located at 95 W Wenger Rd, Englewood, OH 45322. The listed phone number is (937) 836-9617.

What is Brookdale Place Of Englewood, LLC's specialty?

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

Does Brookdale Place Of Englewood, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0996118) is associated with this NPI, valid through February 10, 2028. 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 Place Of Englewood, LLC was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.