BROOKDALE BEAVERCREEK
NPI 1194068569
Assisted Living Facility in Beavercreek, 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.

Active since April 03, 2013CLIA 36D2069425 · Waiver

3839 INDIAN RIPPLE RD, BEAVERCREEK, OH 45440(937) 431-0455(937) 431-0435 Get Directions Write a Review

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

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About Brookdale Beavercreek NPPES

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

BROOKDALE BEAVERCREEK (NPI 1194068569) is a healthcare organization registered as an assisted living facility in Beavercreek, Ohio and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through November 24, 2027 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1194068569

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBROOKDALE SENIOR LIVING COMMUNITIES INC

Location Address3839 INDIAN RIPPLE RDBeavercreek, OH 45440-3468

Mailing Address3839 Indian Ripple RdBeavercreek, OH 45440-3468 · (937) 431-0455 · Fax (937) 431-0435

Phone(937) 431-0455

Fax(937) 431-0435

Organization SubpartYesParent: Brookdale Senior Living Inc

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

Enumeration DateApril 3, 2013

Last NPPES UpdateNovember 16, 2020

NPPES CertifiedNovember 16, 2020

✔ NPI 1194068569 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 · 2196R

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.

3839 INDIAN RIPPLE RD, Beavercreek, OH 45440

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Other Names 1

Doing Business AsBrookdale Beavercreek

Other Identifiers 1

Medicaid3122838OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

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 36D2069425

Brookdale Beavercreek · Beavercreek, OH

Active · expires Nov 24, 2027

CLIA Number36D2069425

Laboratory TypeAssisted Living Facility

Certificate Effective DateNovember 25, 2025

Certificate Expiration DateNovember 24, 2027

Laboratory DirectorKristin D. Bennett

Laboratory Phone(937) 431-0455

Laboratory LocationBrookdale Beavercreek3839 Indian Ripple Blvd, Beavercreek, OH 45440

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

SAMANTHA LILLIAN KRUTKA RD, LD

Dietitian, Registered

3839 INDIAN RIPPLE RD
BEAVERCREEK, OH 45440

Montgomery County (937) 431-0455

BROOKDALE SENIOR LIVING COMMUNITIES INC

Assisted Living Facility

3839 INDIAN RIPPLE RD
DAYTON, OH 45440

Montgomery County (937) 431-0455

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 1194068569. It was assigned to this organization in the NPPES registry on April 3, 2013. The provider is doing business as Brookdale Beavercreek.

Where is Brookdale Senior Living Communities Inc located?

Brookdale Senior Living Communities Inc is located at 3839 Indian Ripple Rd, Beavercreek, OH 45440. The listed phone number is (937) 431-0455.

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 36D2069425) is associated with this NPI, valid through November 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Brookdale Senior Living Communities Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Brookdale Senior Living Communities Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brookdale Senior Living Communities Inc was last updated on November 16, 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.