1. Home
  2. Directory
  3. North Carolina
  4. Gastonia
  5. Assisted Living Facility
  6. NPI Profile

BROOKDALE UNION
NPI 1093871949
Assisted Living Facility in Gastonia, NC

Active since December 28, 2006CLIA 34D2017645 · Waiver
1717 UNION RD, GASTONIA, NC 28054(704) 864-9440(704) 864-1935 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brookdale Union NPPES

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

BROOKDALE UNION (NPI 1093871949) is a healthcare organization registered as an assisted living facility in Gastonia, North Carolina and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through May 6, 2027 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1093871949
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSOUTHERN ASSISTED LIVING, LLC.
Location Address1717 UNION RDGastonia, NC 28054-5583
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Phone(704) 864-9440
Fax(704) 864-1935
Organization SubpartYesParent: Brookdale Senior Living Inc
Authorized OfficialJoanne K LeskowiczSenior Vice President · (414) 918-5000
Enumeration DateDecember 28, 2006
Last NPPES UpdateApril 8, 2021
NPPES CertifiedApril 8, 2021
✔ NPI 1093871949 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.
1717 UNION RD, Gastonia, NC 28054
Open in Google Maps ↗

Other Names 1

Doing Business AsBrookdale Union

Other Identifiers 1

Medicaid7803884NC

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 34D2017645

Brookdale Union · Gastonia, NC
Active · expires May 6, 2027
CLIA Number34D2017645
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorBowers Shimika
Laboratory Phone(704) 864-9440
Laboratory LocationBrookdale Union1717 Union Rd, Gastonia, NC 28054
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.

GASTON MANOR
Assisted Living Facility
1717 UNION RD
GASTONIA, NC 28054
Gaston County (704) 864-9440

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 Southern Assisted Living, LLC.'s NPI number?

The NPI number for Southern Assisted Living, LLC. is 1093871949. It was assigned to this organization in the NPPES registry on December 28, 2006. The provider is doing business as Brookdale Union.

Where is Southern Assisted Living, LLC. located?

Southern Assisted Living, LLC. is located at 1717 Union Rd, Gastonia, NC 28054. The listed phone number is (704) 864-9440.

What is Southern Assisted Living, LLC.'s specialty?

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

Does Southern Assisted Living, LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2017645) is associated with this NPI, valid through May 6, 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 Southern Assisted Living, LLC. was last updated on April 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.