BROOKDALE DERBY
NPI 1467518969
Assisted Living Facility in Derby, KS
About Brookdale Derby NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKDALE DERBY (NPI 1467518969) is a healthcare organization registered as an assisted living facility in Derby, Kansas and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through September 10, 2026 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 17D0977931
Brookdale Derby · Derby, KSFrequently 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 1467518969. It was assigned to this organization in the NPPES registry on December 29, 2006. The provider is doing business as Brookdale Derby.
Where is Brookdale Senior Living Communities, Inc. located?
Brookdale Senior Living Communities, Inc. is located at 1709 E. Walnut Grove, Derby, KS 67037. The listed phone number is (316) 788-6100.
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 17D0977931) is associated with this NPI, valid through September 10, 2026. 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 December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Brookdale Derby · NPI 1467518969
Assisted Living Facility organization in Derby, Kansas. Organization record, active in the CMS NPPES registry since December 29, 2006.
## Identity
- **NPI:** 1467518969 (Entity type: Organization)
- **Enumerated:** December 29, 2006
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Brookdale Senior Living Communities, Inc.
- **Organization subpart:** No
- **Authorized official:** Joanne Leskowicz, SENIOR VICE PRESIDENT
## Practice location
- **Address:** 1709 E. WALNUT GROVE, Derby, KS 67037
- **Phone:** (316) 788-6100
## Record status
- **NPPES last updated:** December 3, 2020
- **Other identifiers:** Medicaid 100382540 S (KS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1467518969) · Data from the CMS NPPES public registry.