BROOKDALE MIDLAND
NPI 1659595536
Assisted Living Facility in Midland, TX

NPI Status: Active since April 12, 2007

Contact Information

1808 W LOOP 250 NORTH
MIDLAND, TX
ZIP 79705
Phone: (432) 687-0460
Fax: (432) 687-0355

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 45D2218935
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 03-30-2027

About BROOKDALE MIDLAND

This page provides the complete NPI Profile along with additional information for Brookdale Midland, a provider established in Midland, Texas operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1659595536 assigned on April 2007. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Brookdale Midland. The authorized official of this NPI record is Joanne K Leskowicz (Senior Vice President)

NPI
1659595536
Provider Legal Name
ESC IV, LP
Other Organization Name
BROOKDALE MIDLAND
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1808 W LOOP 250 NORTH MIDLAND, TX 79705
Location Phone
(432) 687-0460
Location Fax
(432) 687-0355
Mailing Address
111 WESTWOOD PL STE 400 BRENTWOOD, TN 37027
Mailing Phone
(615) 221-2250
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-12-2007
Last Update Date
08-21-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOANNE K LESKOWICZ

Authorized Official Title
SENIOR VICE PRESIDENT
Authorized Official Phone
(414) 918-5000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F500151140MEDICAID (05)TX 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2218935
Facility Type
Assisted Living Facility
Certificate Effective Date
March 31, 2025
Certificate Expiration Date
March 30, 2027
Laboratory Director
MYLEAH FREDERICK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Brookdale Midland to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1659595536
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261091091056
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 1 + 0 + 9 + 1 + 0 + 5 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1659595536 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659595536, enumerated as an "organization" on April 12, 2007.

The provider is located at 1808 W LOOP 250 NORTH MIDLAND, TX 79705 and the phone number is (432) 687-0460.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.