BROOKDALE ONTARIO
NPI 1639381569
Assisted Living Facility in Ontario, OR

Active since May 04, 2007CLIA 38D2203023 · Waiver
1372 SOUTHWEST 8TH AVENUE, ONTARIO, OR 97914(541) 889-4600 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brookdale Ontario NPPES

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

BROOKDALE ONTARIO (NPI 1639381569) is a healthcare organization registered as an assisted living facility in Ontario, Oregon and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through December 1, 2026 and lists Bryan Richardson, Evp, Chief Admin. Officer, as its authorized official.

NPPES Registry Identity

NPI1639381569
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEMERITUS CORPORATION
Location Address1372 SOUTHWEST 8TH AVENUEOntario, OR 97914
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Organization SubpartNo
Authorized OfficialBryan RichardsonEvp, Chief Admin. Officer · (615) 564-8131
Enumeration DateMay 4, 2007
Last NPPES UpdateMay 16, 2016
NPI 1639381569 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.
1372 SOUTHWEST 8TH AVENUE, Ontario, OR 97914

Other Names 1

Doing Business AsBrookdale Ontario

Other Identifiers 1

Medicaid588942OR

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 38D2203023

Brookdale Ontario · Ontario, OR
Active · expires Dec 1, 2026
CLIA Number38D2203023
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorMatthew T. Scott
Laboratory Phone(541) 889-4600
Laboratory LocationBrookdale Ontario1372 SW 8th Ave, Ontario, OR 97914
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 1639381569. It was assigned to this organization in the NPPES registry on May 4, 2007. The provider is doing business as Brookdale Ontario.

Where is Emeritus Corporation located?

Emeritus Corporation is located at 1372 Southwest 8th Avenue, Ontario, OR 97914. The listed phone number is (541) 889-4600.

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 38D2203023) is associated with this NPI, valid through December 1, 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 May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.