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BROOKDALE MOREHEAD CITY
NPI 1114083060
Assisted Living Facility in Morehead City, NC

Active since December 28, 2006CLIA 34D2023275 · Waiver
107 BRYAN ST, MOREHEAD CITY, NC 28557(252) 726-4454(252) 726-9709 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brookdale Morehead City NPPES

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

BROOKDALE MOREHEAD CITY (NPI 1114083060) is a healthcare organization registered as an assisted living facility in Morehead City, North Carolina and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1114083060
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSOUTHERN ASSISTED LIVING, LLC.
Location Address107 BRYAN STMorehead City, NC 28557-2508
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Phone(252) 726-4454
Fax(252) 726-9709
Organization SubpartYesParent: Brookdale Senior Living Inc
Authorized OfficialJoanne K LeskowiczSenior Vice President · (414) 918-5000
Enumeration DateDecember 28, 2006
Last NPPES UpdateApril 7, 2021
NPPES CertifiedApril 7, 2021
✔ NPI 1114083060 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.
107 BRYAN ST, Morehead City, NC 28557
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Other Names 1

Doing Business AsBrookdale Morehead City

Other Identifiers 1

Medicaid7803399NC

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 34D2023275

Brookdale Morehead City · Morehead City, NC
Active · expires Apr 19, 2027
CLIA Number34D2023275
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorElizabeth Springle
Laboratory Phone(252) 726-4454
Laboratory LocationBrookdale Morehead City107 Bryan Street, Morehead City, NC 28557
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 Southern Assisted Living, LLC.'s NPI number?

The NPI number for Southern Assisted Living, LLC. is 1114083060. It was assigned to this organization in the NPPES registry on December 28, 2006. The provider is doing business as Brookdale Morehead City.

Where is Southern Assisted Living, LLC. located?

Southern Assisted Living, LLC. is located at 107 Bryan St, Morehead City, NC 28557. The listed phone number is (252) 726-4454.

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 34D2023275) is associated with this NPI, valid through April 19, 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 7, 2021. 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.