1. Home
  2. Directory
  3. California
  4. Corona
  5. Assisted Living Facility
  6. NPI Profile

BROOKDALE CORONA
NPI 1255542072
Assisted Living Facility in Corona, CA

Active since May 24, 2007CLIA 05D2212252 · Waiver
2005 KELLOGG AVE, CORONA, CA 92879(951) 898-6991 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brookdale Corona NPPES

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

BROOKDALE CORONA (NPI 1255542072) is a healthcare organization registered as an assisted living facility in Corona, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Anna Munoz, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1255542072
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEMERITUS CORPORATION
Location Address2005 KELLOGG AVECorona, CA 92879-3111
Mailing Address2005 Kellogg AveCorona, CA 92879-3111 · (951) 898-6991
Phone(951) 898-6991
Organization SubpartNo
Authorized OfficialAnna MunozAssistant Secretary · (414) 918-5443
Enumeration DateMay 24, 2007
Last NPPES UpdateAugust 2, 2024
NPPES CertifiedAugust 2, 2024
✔ NPI 1255542072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X · License 336409202 (CA)
2005 KELLOGG AVE, Corona, CA 92879
Open in Google Maps ↗

Other Names 1

Doing Business AsBrookdale Corona

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 05D2212252

Brookdale Corona · Corona, CA
Active · expires Feb 2, 2027
CLIA Number05D2212252
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorLuke Watson
Laboratory Phone(951) 898-6991
Laboratory LocationBrookdale Corona2005 Kellogg Ave, Corona, CA 92879
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 1255542072. It was assigned to this organization in the NPPES registry on May 24, 2007. The provider is doing business as Brookdale Corona.

Where is Emeritus Corporation located?

Emeritus Corporation is located at 2005 Kellogg Ave, Corona, CA 92879. The listed phone number is (951) 898-6991.

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 05D2212252) is associated with this NPI, valid through February 2, 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 Emeritus Corporation was last updated on August 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.