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BROOKDALE SAN MARCOS SOUTH
NPI 1104952480
Assisted Living Facility in San Marcos, TX

Active since February 23, 2007CLIA 45D2196709 · Waiver
1401 WONDER WORLD DR, SAN MARCOS, TX 78666(512) 396-8271(512) 396-8273 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2020, May 18, 2016 (2 updates tracked since 2016).

About Brookdale San Marcos South NPPES

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

BROOKDALE SAN MARCOS SOUTH (NPI 1104952480) is a healthcare organization registered as an assisted living facility in San Marcos, Texas and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through October 18, 2026 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1104952480
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameESC III LP
Location Address1401 WONDER WORLD DRSan Marcos, TX 78666-7555
Mailing Address111 Westwood Pl Ste 400Brentwood, TN 37027-5057 · (615) 221-2250
Phone(512) 396-8271
Fax(512) 396-8273
Organization SubpartYesParent: Brookdale Senior Living Inc
Authorized OfficialJoanne K LeskowiczSenior Vice President · (414) 918-5000
Enumeration DateFebruary 23, 2007
Last NPPES UpdateAugust 21, 20202 updates tracked since enumeration
NPPES CertifiedAugust 21, 2020
✔ NPI 1104952480 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.
1401 WONDER WORLD DR, San Marcos, TX 78666
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Other Names 1

Doing Business AsBrookdale San Marcos South

Other Identifiers 1

MedicaidF500153020TX

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 45D2196709

Brookdale San Marcos South · San Marcos, TX
Active · expires Oct 18, 2026
CLIA Number45D2196709
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorMisty May
Laboratory Phone(512) 396-8271
Laboratory LocationBrookdale San Marcos South1401 Wonder World Drive, San Marcos, TX 78666
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 20

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

KATHY L SPRAGGINS PTA
Physical Therapy Assistant
1401 WONDER WORLD DR
SAN MARCOS, TX 78666
Hays County (610) 991-2034
JEAN DEBORAH CARTER PT
Physical Therapist
1401 WONDER WORLD DR
SAN MARCOS, TX 78666
Hays County (610) 991-2034
JOE ANDREW LOPEZ OT
Occupational Therapist
1401 WONDER WORLD DR
SAN MARCOS, TX 78666
Hays County (512) 396-8271
WESTON REHABILITATION TEXAS LLC
Physical Therapist
1401 WONDER WORLD DR
SAN MARCOS, TX 78666
Hays County (512) 396-8271
FONG YONG JANE KHOR MPT
Physical Therapist
1401 WONDER WORLD DR
SAN MARCOS, TX 78666
Hays County (572) 754-8230
SHERRY J BOBICK OT
Occupational Therapist
1401 WONDER WORLD DR
SAN MARCOS, TX 78666
Hays County (512) 396-8271
GINNY R. GARRISON-TATE OT
Occupational Therapist
1401 WONDER WORLD DR
SAN MARCOS, TX 78666
Hays County (512) 396-8271
CHRISTINE M LOGAN OT
Occupational Therapist
1401 WONDER WORLD DR
SAN MARCOS, TX 78666
Hays County (512) 754-8230

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 Esc III LP's NPI number?

The NPI number for Esc III LP is 1104952480. It was assigned to this organization in the NPPES registry on February 23, 2007. The provider is doing business as Brookdale San Marcos South.

Where is Esc III LP located?

Esc III LP is located at 1401 Wonder World Dr, San Marcos, TX 78666. The listed phone number is (512) 396-8271.

What is Esc III LP's specialty?

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

Does Esc III LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2196709) is associated with this NPI, valid through October 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Esc III LP was last updated on August 21, 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.