BROOKDALE COEUR D'ALENE
NPI 1609088525
Assisted Living Facility in Coeur D Alene, ID

Q: What is Emeritus Corporation's NPI number?

The NPI number for Emeritus Corporation is 1609088525. It was assigned to this organization in the NPPES registry on May 4, 2007. The provider is doing business as Brookdale Coeur D'alene.

Q: What is Emeritus Corporation's specialty?

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

Active since May 04, 2007CLIA 13D2201173 · Waiver

205 E ANTON AVE, COEUR D ALENE, ID 83815(208) 667-6490(208) 765-4352 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

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About Brookdale Coeur D'alene NPPES

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

BROOKDALE COEUR D'ALENE (NPI 1609088525) is a healthcare organization registered as an assisted living facility in Coeur D Alene, Idaho and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through November 18, 2026 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1609088525

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameEMERITUS CORPORATION

Location Address205 E ANTON AVECoeur D Alene, ID 83815-3721

Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647

Phone(208) 667-6490

Fax(208) 765-4352

Organization SubpartYesParent: Brookdale Senior Living Inc

Authorized OfficialJoanne K LeskowiczSenior Vice President · (414) 918-5000

Enumeration DateMay 4, 2007

Last NPPES UpdateJuly 20, 20202 updates tracked since enumeration

NPPES CertifiedJuly 20, 2020

✔ NPI 1609088525 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.

205 E ANTON AVE, Coeur D Alene, ID 83815

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Other Names 1

Doing Business AsBrookdale Coeur D'alene

Other Identifiers 1

MedicaidM8055838ID

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 13D2201173

Brookdale Coeur D'alene · Coeur D'alene, ID

Active · expires Nov 18, 2026

CLIA Number13D2201173

Laboratory TypeAssisted Living Facility

Certificate Effective DateNovember 19, 2024

Certificate Expiration DateNovember 18, 2026

Laboratory DirectorDahna Gates

Laboratory Phone(208) 667-6490

Laboratory LocationBrookdale Coeur D'alene205 E Anton Avenue, Coeur D'alene, ID 83815

CLIA data matches this NPI record on: 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 1609088525. It was assigned to this organization in the NPPES registry on May 4, 2007. The provider is doing business as Brookdale Coeur D'alene.

Where is Emeritus Corporation located?

Emeritus Corporation is located at 205 E Anton Ave, Coeur D Alene, ID 83815. The listed phone number is (208) 667-6490.

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 13D2201173) is associated with this NPI, valid through November 18, 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 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.