BROOKDALE POCATELLO
NPI 1538294871
Assisted Living Facility in Pocatello, ID

Active since February 23, 2007CLIA 13D2204157 · Waiver
1501 BALDY AVE, POCATELLO, ID 83201(208) 237-6866(208) 237-3889 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2020, May 16, 2016 (2 updates tracked since 2016).

About Brookdale Pocatello NPPES

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

BROOKDALE POCATELLO (NPI 1538294871) is a healthcare organization registered as an assisted living facility in Pocatello, Idaho and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through December 7, 2026 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1538294871
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEMERITUS CORPORATION
Location Address1501 BALDY AVEPocatello, ID 83201-7117
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Fax(208) 237-3889
Organization SubpartYesParent: Brookdale Senior Living Inc
Authorized OfficialJoanne K LeskowiczSenior Vice President · (414) 918-5000
Enumeration DateFebruary 23, 2007
Last NPPES UpdateJuly 20, 20202 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
NPI 1538294871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in ID · RC770
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.

1501 BALDY AVE, Pocatello, ID 83201

Other Names 1

Doing Business AsBrookdale Pocatello

Other Identifiers 1

MedicaidM8054378ID

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 13D2204157

Brookdale Pocatello · Pocatello, ID
Active · expires Dec 7, 2026
CLIA Number13D2204157
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorNichole M. Borden
Laboratory Phone(208) 237-6866
Laboratory LocationBrookdale Pocatello1501 Baldy Avenue, Pocatello, ID 83201
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 Emeritus Corporation's NPI number?

The NPI number for Emeritus Corporation is 1538294871. It was assigned to this organization in the NPPES registry on February 23, 2007. The provider is doing business as Brookdale Pocatello.

Where is Emeritus Corporation located?

Emeritus Corporation is located at 1501 Baldy Ave, Pocatello, ID 83201. The listed phone number is (208) 237-6866.

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 13D2204157) is associated with this NPI, valid through December 7, 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 Emeritus Corporation was last updated on July 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.