BROOKDALE ROSEBURG
NPI 1124332655
Assisted Living Facility in Roseburg, OR

Q: What is Emeritus Corporation's NPI number?

The NPI number for Emeritus Corporation is 1124332655. It was assigned to this organization in the NPPES registry on July 26, 2010. The provider is doing business as Brookdale Roseburg.

Q: What is Emeritus Corporation's specialty?

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

Active since July 26, 2010CLIA 38D2018061 · Waiver

3400 NW EDENBOWER BLVD, ROSEBURG, OR 97470(541) 464-5600(541) 464-5858 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2020, May 16, 2016 (2 updates tracked since 2016).

On this page

About Brookdale Roseburg NPPES

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

BROOKDALE ROSEBURG (NPI 1124332655) is a healthcare organization registered as an assisted living facility in Roseburg, Oregon and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through December 21, 2026 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1124332655

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameEMERITUS CORPORATION

Location Address3400 NW EDENBOWER BLVDRoseburg, OR 97470-1228

Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647

Phone(541) 464-5600

Fax(541) 464-5858

Organization SubpartYesParent: Brookdale Senior Living Inc

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

Enumeration DateJuly 26, 2010

Last NPPES UpdateJuly 21, 20202 updates tracked since enumeration

NPPES CertifiedJuly 21, 2020

✔ NPI 1124332655 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.

3400 NW EDENBOWER BLVD, Roseburg, OR 97470

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Other Names 1

Doing Business AsBrookdale Roseburg

Other Identifiers 1

Medicaid521979OR

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 38D2018061

Brookdale Roseburg · Roseburg, OR

Active · expires Dec 21, 2026

CLIA Number38D2018061

Laboratory TypeAssisted Living Facility

Certificate Effective DateDecember 22, 2024

Certificate Expiration DateDecember 21, 2026

Laboratory DirectorSarah Calvert

Laboratory Phone(541) 464-5600

Laboratory LocationBrookdale Roseburg3400 NW Edenbower Blvd, Roseburg, OR 97470

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 Emeritus Corporation's NPI number?

The NPI number for Emeritus Corporation is 1124332655. It was assigned to this organization in the NPPES registry on July 26, 2010. The provider is doing business as Brookdale Roseburg.

Where is Emeritus Corporation located?

Emeritus Corporation is located at 3400 NW Edenbower Blvd, Roseburg, OR 97470. The listed phone number is (541) 464-5600.

What is Emeritus Corporation's specialty?

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

Does Emeritus Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2018061) is associated with this NPI, valid through December 21, 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 Emeritus Corporation was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.