BROOKDALE TRAIL RIDGE
NPI 1194947887
Alzheimer Center (Dementia Center) in Sun City West, AZ

Q: What is Brea Emeritus LLC's NPI number?

The NPI number for Brea Emeritus LLC is 1194947887. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as Brookdale Trail Ridge.

Q: What is Brea Emeritus LLC's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Q: When was this NPI record last updated?

The NPPES record for Brea Emeritus LLC was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 03, 2007CLIA 03D0945168 · Waiver

21739 N 151ST AVE, SUN CITY WEST, AZ 85375(623) 546-3650(623) 546-3740 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2023, May 12, 2016 (2 updates tracked since 2016).

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About Brookdale Trail Ridge NPPES

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

BROOKDALE TRAIL RIDGE (NPI 1194947887) is a healthcare organization registered as an alzheimer center (dementia center) in Sun City West, Arizona and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1194947887

Entity TypeOrganization

Primary Taxonomy311500000X

Legal Business NameBREA EMERITUS LLC

Location Address21739 N 151ST AVESun City West, AZ 85375-6150

Mailing Address21739 N 151st AveSun City West, AZ 85375-6150 · (623) 546-3650

Phone(623) 546-3650

Fax(623) 546-3740

Organization SubpartNo

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

Enumeration DateMay 3, 2007

Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration

NPPES CertifiedJuly 18, 2023

✔ NPI 1194947887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities

Taxonomy Code311500000X

Definition

A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

21739 N 151ST AVE, Sun City West, AZ 85375

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Other Names 1

Doing Business AsBrookdale Trail Ridge

Other Identifiers 1

Medicaid215213AZ

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 03D0945168

Brookdale Trail Ridge · Sun City West, AZ

Active · expires Apr 26, 2028

CLIA Number03D0945168

Laboratory TypeAssisted Living Facility

Certificate Effective DateApril 27, 2026

Certificate Expiration DateApril 26, 2028

Laboratory DirectorMargaret Kimani

Laboratory Phone(623) 546-3650

Laboratory LocationBrookdale Trail Ridge21739 N 151st Avenue, Sun City West, AZ 85375

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 Brea Emeritus LLC's NPI number?

The NPI number for Brea Emeritus LLC is 1194947887. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as Brookdale Trail Ridge.

Where is Brea Emeritus LLC located?

Brea Emeritus LLC is located at 21739 N 151st Ave, Sun City West, AZ 85375. The listed phone number is (623) 546-3650.

What is Brea Emeritus LLC's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Does Brea Emeritus LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0945168) is associated with this NPI, valid through April 26, 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 Brea Emeritus LLC was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.