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BROOKDALE COUNTRY DAY ROAD
NPI 1508998295
Assisted Living Facility in Goldsboro, NC

Active since March 09, 2007CLIA 34D2162802 · Waiver
380 COUNTY DAY ROAD, GOLDSBORO, NC 27530(919) 735-5117(919) 735-3961 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2020, Jun 13, 2016 (2 updates tracked since 2016).

About Brookdale Country Day Road NPPES

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

BROOKDALE COUNTRY DAY ROAD (NPI 1508998295) is a healthcare organization registered as an assisted living facility in Goldsboro, North Carolina and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through February 28, 2027 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1508998295
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEMERITUS CORPORATION
Location Address380 COUNTY DAY ROADGoldsboro, NC 27530
Mailing Address6737 W Washington St Ste 2300Milwaukee, WI 53214-5650 · (414) 918-5000 · Fax (206) 301-4500
Phone(919) 735-5117
Fax(919) 735-3961
Organization SubpartYesParent: Brookdale Senior Living Inc
Authorized OfficialJoanne K LeskowiczSenior Vice President · (414) 918-5000
Enumeration DateMarch 9, 2007
Last NPPES UpdateJuly 20, 20202 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
✔ NPI 1508998295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Licenses✔ Licensed in NC · HAL-096-026✔ Licensed in NC · HAL096026
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.
380 COUNTY DAY ROAD, Goldsboro, NC 27530
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Other Names 1

Doing Business AsBrookdale Country Day Road

Other Identifiers 1

Medicaid7804989NC

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 34D2162802

Brookdale Country Day Road · Goldsboro, NC
Active · expires Feb 28, 2027
CLIA Number34D2162802
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorMegan N. Parks
Laboratory Phone(919) 735-5177
Laboratory LocationBrookdale Country Day Road380 Country Day Road, Goldsboro, NC 27534
CLIA data matches this NPI record on: Name
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 Emeritus Corporation's NPI number?

The NPI number for Emeritus Corporation is 1508998295. It was assigned to this organization in the NPPES registry on March 9, 2007. The provider is doing business as Brookdale Country Day Road.

Where is Emeritus Corporation located?

Emeritus Corporation is located at 380 County Day Road, Goldsboro, NC 27530. The listed phone number is (919) 735-5117.

What is Emeritus Corporation's specialty?

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

Does Emeritus Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2162802) is associated with this NPI, valid through February 28, 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 Emeritus Corporation was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.