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BROOKDALE PLACE OF AUGUSTA, LLC
NPI 1336838689
Assisted Living Facility in Augusta, GA

Active since May 03, 2023CLIA 11D0991400 · Waiver
326 BOY SCOUT RD, AUGUSTA, GA 30909(706) 738-6003 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brookdale Place Of Augusta, Llc NPPES

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

BROOKDALE PLACE OF AUGUSTA, LLC (NPI 1336838689), doing business as Brookdale Augusta, is a healthcare organization registered as an assisted living facility in Augusta, Georgia and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Joanne Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1336838689
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBROOKDALE PLACE OF AUGUSTA, LLC
Location Address326 BOY SCOUT RDAugusta, GA 30909-2006
Mailing Address6737 W Washington St Ste 2300Milwaukee, WI 53214-5650 · (414) 918-5332
Phone(706) 738-6003
Organization SubpartNo
Authorized OfficialJoanne LeskowiczSenior Vice President · (414) 918-5000
Enumeration DateMay 3, 2023
NPPES CertifiedMay 3, 2023
✔ NPI 1336838689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

326 BOY SCOUT RD, Augusta, GA 30909
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Other Names 1

Doing Business AsBrookdale Augusta

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 11D0991400

Brookdale Place Of Augusta, LLC Dba Brookdale Place Of Augusta · Augusta, GA
Active · expires Feb 2, 2027
CLIA Number11D0991400
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorMarcus Covar
Laboratory Phone(706) 738-6003
Laboratory LocationBrookdale Place Of Augusta, LLC Dba Brookdale Place Of Augusta326 Boy Scout Rd, Augusta, GA 30909
CLIA data matches this NPI record on: Address 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.

MRS. KELLYN COLCLOUGH ROBERTSON OTR/L
Occupational Therapist
326 BOY SCOUT RD
AUGUSTA, GA 30909
Richmond County (706) 738-6003
ALEXIS JEAN DELOUSIA
Occupational Therapist
326 BOY SCOUT RD
AUGUSTA, GA 30909
Richmond County (706) 723-8797

Frequently Asked Questions

What is BROOKDALE PLACE OF AUGUSTA, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1336838689, enumerated as an "organization" on May 03, 2023.

Where is the provider located?

The provider is located at 326 BOY SCOUT RD AUGUSTA, GA 30909 and the phone number is (706) 738-6003.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.