BROOKDALE COLLIN OAKS
NPI 1356553994
Assisted Living Facility in Plano, TX

NPI Status: Active since May 04, 2007

Contact Information

4045 W 15TH ST
PLANO, TX
ZIP 75093
Phone: (972) 519-0480
Fax: (972) 519-9765

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Assisted Living Facility
CLIA Number: 45D2198811
CLIA Cert. Type: Assisted Living Facility
CLIA Exp. Date: 11-03-2026

About BROOKDALE COLLIN OAKS

This page provides the complete NPI Profile along with additional information for Brookdale Collin Oaks, a provider established in Plano, Texas operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1356553994 assigned on May 2007. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Brookdale Collin Oaks. The authorized official of this NPI record is Joanne K Leskowicz (Senior Vice President)

NPI: 1356553994
Provider Legal Name: ESC - NGH, LP
Other Organization Name: BROOKDALE COLLIN OAKS
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 4045 W 15TH ST PLANO, TX 75093
Location Phone: (972) 519-0480
Location Fax: (972) 519-9765
Mailing Address: 111 WESTWOOD PL STE 400 BRENTWOOD, TN 37027
Mailing Phone: (615) 221-2250
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 05-04-2007
Last Update Date: 10-22-2020
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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
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:

Medicare

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

Medicaid

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: JOANNE K LESKOWICZ
Authorized Official Title: SENIOR VICE PRESIDENT
Authorized Official Phone: (414) 918-5000

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
F500150720	MEDICAID (05)	TX

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: 45D2198811
Facility Type: Assisted Living Facility
Certificate Effective Date: November 04, 2024
Certificate Expiration Date: November 03, 2026
Laboratory Director: DEBBIE MASTEN
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Brookdale Collin Oaks 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.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	3	5	6	5	5	3	9	9	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	3	10	6	10	5	6	9	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 0 + 5 + 6 + 9 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4									4

The NPI number 1356553994 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.