BROOKDALE SENIOR LIVING COMMUNITIES, INC.
NPI 1679374003
Assisted Living Facility in Portage, MI

Active since March 21, 2025CLIA 23D2084114 · Waiver
3100 OLD CENTRE RD, PORTAGE, MI 49024(269) 324-3344 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Brookdale Senior Living Communities, Inc. NPPES

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

BROOKDALE SENIOR LIVING COMMUNITIES, INC. (NPI 1679374003), doing business as Brookdale Portage Al, is a healthcare organization registered as an assisted living facility in Portage, Michigan and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through September 17, 2028 and lists Anna F.c. Munoz, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1679374003
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBROOKDALE SENIOR LIVING COMMUNITIES, INC.
Location Address3100 OLD CENTRE RDPortage, MI 49024-4851
Mailing Address3100 Old Centre RdPortage, MI 49024-4851 · (269) 324-3344
Organization SubpartNo
Authorized OfficialAnna F.c. MunozAssistant Secretary · (414) 918-5443
Enumeration DateMarch 21, 2025
NPPES CertifiedMarch 21, 2025
NPI 1679374003 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.
3100 OLD CENTRE RD, Portage, MI 49024

Other Names 1

Doing Business AsBrookdale Portage Al

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 23D2084114

Brookdale Senior Living Communities, Inc Dba Brookdale Portage Assisted Living · Portage, MI
Active · expires Sep 17, 2028
CLIA Number23D2084114
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 18, 2026
Certificate Expiration DateSeptember 17, 2028
Laboratory DirectorTammy Friesen
Laboratory Phone(269) 324-3344
Laboratory LocationBrookdale Senior Living Communities, Inc Dba Brookdale Portage Assisted Living3100 Old Centre Avenue, Portage, MI 49024
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 Brookdale Senior Living Communities, Inc.'s NPI number?

The NPI number for Brookdale Senior Living Communities, Inc. is 1679374003. It was assigned to this organization in the NPPES registry on March 21, 2025. The provider is doing business as Brookdale Portage AL.

Where is Brookdale Senior Living Communities, Inc. located?

Brookdale Senior Living Communities, Inc. is located at 3100 Old Centre Rd, Portage, MI 49024. The listed phone number is (269) 324-3344.

What is Brookdale Senior Living Communities, Inc.'s specialty?

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

Does Brookdale Senior Living Communities, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2084114) is associated with this NPI, valid through September 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brookdale Senior Living Communities, Inc. was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.