BROOKDALE FEDERAL WAY
NPI 1306971924
Assisted Living Facility in Federal Way, WA

Active since February 22, 2007CLIA 50D2092858 · Waiver
31002 14TH AVE S, FEDERAL WAY, WA 98003(253) 941-0156(253) 941-1871 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility
  • CLIA Number: 50D2092858
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 04-04-2028

About BROOKDALE FEDERAL WAY

This page provides the complete NPI Profile along with additional information for Brookdale Federal Way, a provider established in Federal Way, Washington operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1306971924 assigned on February 2007. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Brookdale Federal Way. The authorized official of this NPI record is Bryan Richardson (Evp, Chief Admin. Officer)

NPI
1306971924 Verify this NPI
Provider Legal Name
EMERITUS CORPORATION
Other Organization Name
BROOKDALE FEDERAL WAY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
31002 14TH AVE S FEDERAL WAY, WA 98003
Location Phone
(253) 941-0156
Location Fax
(253) 941-1871
Mailing Address
6737 W WASHINGTON ST SUITE 2300 MILWAUKEE, WI 53214
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-22-2007
Last Update Date
05-18-2016
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License State
WA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRYAN RICHARDSON

Authorized Official Title
EVP, CHIEF ADMIN. OFFICER
Authorized Official Phone
(615) 564-8131

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
184892MEDICAID (05)WA 

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
50D2092858
Facility Type
Assisted Living Facility
Certificate Effective Date
March 16, 2015
Certificate Expiration Date
April 04, 2028
Laboratory Director
PHOEBE M. MUGO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Brookdale Federal Way 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.

Reviews for BROOKDALE FEDERAL WAY

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
31002 14TH AVE S
FEDERAL WAY, WA 98003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306971924, enumerated as an "organization" on February 22, 2007.

The provider is located at 31002 14TH AVE S FEDERAL WAY, WA 98003 and the phone number is (253) 941-0156.

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.