BROOKDALE MADISON WEST AL/MC
NPI 1366844748
Assisted Living Facility in Madison, WI

Active since September 17, 2014CLIA 52D1049275 · Waiver
413 S YELLOWSTONE DR, MADISON, WI 53719(608) 277-1010 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2024, Jun 26, 2024 (2 updates tracked since 2024).

About Brookdale Madison West Al/mc NPPES

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

BROOKDALE MADISON WEST AL/MC (NPI 1366844748) is a healthcare organization registered as an assisted living facility in Madison, Wisconsin and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through December 29, 2027 and lists Anna Munoz, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1366844748
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBROOKDALE SENIOR LIVING COMMUNITIES, INC.
Location Address413 S YELLOWSTONE DRMadison, WI 53719-1042
Mailing Address429 S Yellowstone DrMadison, WI 53719-1021
Organization SubpartNo
Authorized OfficialAnna MunozAssistant Secretary · (414) 918-5443
Enumeration DateSeptember 17, 2014
Last NPPES UpdateJuly 19, 20242 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
NPI 1366844748 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.
413 S YELLOWSTONE DR, Madison, WI 53719

Other Names 2

Doing Business AsBrookdale Madison West Al/mc
Doing Business AsBrookdale Madison West Al

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 52D1049275

Brookdale Madison West · Madison, WI
Active · expires Dec 29, 2027
CLIA Number52D1049275
Laboratory TypeOther
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateDecember 29, 2027
Laboratory DirectorRobin Frievalt
Laboratory Phone(608) 277-1010
Laboratory LocationBrookdale Madison West413 S Yellowstone Dr, Madison, WI 53719
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.

Licensed Practical Nurse
413 S YELLOWSTONE DR
MADISON, WI 53719
Occupational Therapy Assistant
413 S YELLOWSTONE DR
MADISON, WI 53719

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 Brookdale Senior Living Communities, Inc.'s NPI number?

The NPI number for Brookdale Senior Living Communities, Inc. is 1366844748. It was assigned to this organization in the NPPES registry on September 17, 2014. The provider is doing business as Brookdale Madison West Al/Mc and Brookdale Madison West AL.

Where is Brookdale Senior Living Communities, Inc. located?

Brookdale Senior Living Communities, Inc. is located at 413 S Yellowstone Dr, Madison, WI 53719. The listed phone number is (608) 277-1010.

What is Brookdale Senior Living Communities, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Brookdale Senior Living Communities, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D1049275) is associated with this NPI, valid through December 29, 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 Brookdale Senior Living Communities, Inc. was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.