BROOKDALE MONROE SQUARE 1
NPI 1265597256
Assisted Living Facility in Monroe, NC

Active since December 27, 2006CLIA 34D2030062 · Waiver
918 FITZGERALD ST, MONROE, NC 28112(704) 225-0200(704) 238-9762 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brookdale Monroe Square 1 NPPES

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

BROOKDALE MONROE SQUARE 1 (NPI 1265597256) is a healthcare organization registered as an assisted living facility in Monroe, North Carolina and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.Information from the official NPPES registry record, last updated April 7, 2021.

NPPES Registry Identity

NPI1265597256
Entity TypeOrganization
Legal Business NameSOUTHERN ASSISTED LIVING, LLC.
Location Address918 FITZGERALD STMonroe, NC 28112-5683
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Fax(704) 238-9762
Organization SubpartYesParent: Brookdale Senior Living Inc
Authorized OfficialJoanne K LeskowiczSenior Vice President · (414) 918-5000
Enumeration DateDecember 27, 2006
Last NPPES UpdateApril 7, 2021
NPPES CertifiedApril 7, 2021
NPI 1265597256 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Assisted Living Facility

Taxonomy 310400000X · Nursing & Custodial Care Facilities

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… Show more

918 FITZGERALD ST, Monroe, NC 28112

Also on File with NPPES

Other Names1
Brookdale Monroe Square 1 (Doing Business As)
Other Identifiers1
7804071 (Medicaid, NC)

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2030062
Facility Type
Assisted Living Facility
Certificate Effective Date
September 21, 2025
Certificate Expiration Date
September 20, 2027
Laboratory Director
AMIE M. JAMES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Brookdale Monroe Square 1 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265597256, enumerated as an "organization" on December 27, 2006.

The provider is located at 918 FITZGERALD ST MONROE, NC 28112 and the phone number is (704) 225-0200.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.