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BROOKDALE TEXARKANA
NPI 1487710679
Assisted Living Facility in Texarkana, TX

Active since December 29, 2006CLIA 45D2193217 · Waiver
4204 MOORES LN, TEXARKANA, TX 75503(903) 838-3562(903) 832-8787 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Brookdale Texarkana NPPES

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

BROOKDALE TEXARKANA (NPI 1487710679) is a healthcare organization registered as an assisted living facility in Texarkana, Texas and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through September 17, 2026 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1487710679
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBROOKDALE SENIOR LIVING COMMUNITIES, INC.
Location Address4204 MOORES LNTexarkana, TX 75503-2198
Mailing Address111 Westwood Pl Ste 400Brentwood, TN 37027-5057 · (615) 221-2250
Phone(903) 838-3562
Fax(903) 832-8787
Organization SubpartYesParent: Brookdale Senior Living Inc
Authorized OfficialJoanne K LeskowiczSenior Vice President · (414) 918-5000
Enumeration DateDecember 29, 2006
Last NPPES UpdateAugust 31, 2020
NPPES CertifiedAugust 31, 2020
✔ NPI 1487710679 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.
4204 MOORES LN, Texarkana, TX 75503
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Other Names 1

Doing Business AsBrookdale Texarkana

Other Identifiers 1

MedicaidF500153420TX

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 45D2193217

Brookdale Texarkana · Texarkana, TX
Active · expires Sep 17, 2026
CLIA Number45D2193217
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorSandra E. Martin
Laboratory Phone(903) 838-3562
Laboratory LocationBrookdale Texarkana4204 Moores Lane, Texarkana, TX 75503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1487710679. It was assigned to this organization in the NPPES registry on December 29, 2006. The provider is doing business as Brookdale Texarkana.

Where is Brookdale Senior Living Communities, Inc. located?

Brookdale Senior Living Communities, Inc. is located at 4204 Moores Ln, Texarkana, TX 75503. The listed phone number is (903) 838-3562.

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 45D2193217) is associated with this NPI, valid through September 17, 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 August 31, 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.