BROOKDALE UNION PARK
NPI 1659437218
Assisted Living Facility in Monroe, NC

Active since December 28, 2006CLIA 34D2045761 · Waiver
1316 PATTERSON AVENUE, MONROE, NC 28112(704) 282-0530(704) 296-9058 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brookdale Union Park NPPES

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

BROOKDALE UNION PARK (NPI 1659437218) is a healthcare organization registered as an assisted living facility in Monroe, North Carolina and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 19, 2026 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1659437218
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSOUTHERN ASSISTED LIVING, LLC.
Location Address1316 PATTERSON AVENUEMonroe, NC 28112
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Fax(704) 296-9058
Organization SubpartYesParent: Brookdale Senior Living Inc
Authorized OfficialJoanne K LeskowiczSenior Vice President · (414) 918-5000
Enumeration DateDecember 28, 2006
Last NPPES UpdateApril 8, 2021
NPPES CertifiedApril 8, 2021
NPI 1659437218 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.

1316 PATTERSON AVENUE, Monroe, NC 28112

Other Names 1

Doing Business AsBrookdale Union Park

Other Identifiers 1

Medicaid7803878NC

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 34D2045761

Brookdale Union Park · Monroe, NC
Active · expires Aug 19, 2026
CLIA Number34D2045761
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateAugust 19, 2026
Laboratory DirectorBobby E. Dillard II
Laboratory Phone(704) 282-0530
Laboratory LocationBrookdale Union Park1316 Patterson Street, Monroe, NC 28112
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 Southern Assisted Living, LLC.'s NPI number?

The NPI number for Southern Assisted Living, LLC. is 1659437218. It was assigned to this organization in the NPPES registry on December 28, 2006. The provider is doing business as Brookdale Union Park.

Where is Southern Assisted Living, LLC. located?

Southern Assisted Living, LLC. is located at 1316 Patterson Avenue, Monroe, NC 28112. The listed phone number is (704) 282-0530.

What is Southern Assisted Living, LLC.'s specialty?

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

Does Southern Assisted Living, LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2045761) is associated with this NPI, valid through August 19, 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 Southern Assisted Living, LLC. was last updated on April 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.