BROOKDALE CENTENNIAL PARK - NPI 1093959777 - Assisted Living Facility in Englewood, OH

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 Centennial Park NPPES

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

BROOKDALE CENTENNIAL PARK (NPI 1093959777) is a healthcare organization registered as an assisted living facility in Englewood, Ohio and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through March 29, 2028 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1093959777

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBROOKDALE SENIOR LIVING COMMUNITIES INC

Location Address350 UNION ROADEnglewood, OH 45322-2196

Mailing Address350 Union RoadEnglewood, OH 45322-2196 · (937) 832-8500

Phone(937) 832-8500

Organization SubpartYesParent: Brookdale Senior Living Inc

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

Enumeration DateApril 27, 2009

Last NPPES UpdateNovember 17, 2020

NPPES CertifiedNovember 17, 2020

✔ NPI 1093959777 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 · 2154R

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.

350 UNION ROAD, Englewood, OH 45322

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Other Names 1

Doing Business AsBrookdale Centennial Park

Other Identifiers 1

Medicaid2961077OH

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 36D0972140

Brookdale Centennial Park · Englewood, OH

Active · expires Mar 29, 2028

CLIA Number36D0972140

Laboratory TypeOther

Certificate Effective DateMarch 30, 2026

Certificate Expiration DateMarch 29, 2028

Laboratory DirectorMichele Jones

Laboratory Phone(937) 832-8500

Laboratory LocationBrookdale Centennial Park350 Union Blvd, Englewood, OH 45322

CLIA data matches this NPI record on: 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 1093959777. It was assigned to this organization in the NPPES registry on April 27, 2009.

Where is Brookdale Senior Living Communities Inc located?

Brookdale Senior Living Communities Inc is located at 350 Union Road, Englewood, OH 45322. The listed phone number is (937) 832-8500.

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 36D0972140) is associated with this NPI, valid through March 29, 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 Senior Living Communities Inc was last updated on November 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.