BROOKDALE MANDARIN CENTRAL
NPI 1679875066
Assisted Living Facility in Jacksonville, FL

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

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

Active since November 17, 2010CLIA 10D0926743 · Waiver

10875 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32257(904) 880-4040(904) 880-4096 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brookdale Mandarin Central NPPES

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

BROOKDALE MANDARIN CENTRAL (NPI 1679875066) is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through March 30, 2027 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1679875066

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBROOKDALE SENIOR LIVING COMMUNITIES, INC.

Location Address10875 OLD SAINT AUGUSTINE RDJacksonville, FL 32257-1091

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

Phone(904) 880-4040

Fax(904) 880-4096

Organization SubpartNo

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

Enumeration DateNovember 17, 2010

Last NPPES UpdateMay 2, 2023

NPPES CertifiedMay 2, 2023

✔ NPI 1679875066 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.

10875 OLD SAINT AUGUSTINE RD, Jacksonville, FL 32257

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Other Names 1

Doing Business AsBrookdale Mandarin Central

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 10D0926743

Brookdale Mandarin Central · Jacksonville, FL

Active · expires Mar 30, 2027

CLIA Number10D0926743

Laboratory TypeOther

Certificate Effective DateMarch 31, 2025

Certificate Expiration DateMarch 30, 2027

Laboratory DirectorTracy Jones

Laboratory Phone(904) 880-4040

Laboratory LocationBrookdale Mandarin Central10875 Old St Augustine Rd, Jacksonville, FL 32257

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADISON A. DOYLE OTR/L

Occupational Therapist

10875 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32257

Duval County (904) 880-4040

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 1679875066. It was assigned to this organization in the NPPES registry on November 17, 2010. The provider is doing business as Brookdale Mandarin Central.

Where is Brookdale Senior Living Communities, Inc. located?

Brookdale Senior Living Communities, Inc. is located at 10875 Old Saint Augustine Rd, Jacksonville, FL 32257. The listed phone number is (904) 880-4040.

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 10D0926743) is associated with this NPI, valid through March 30, 2027. 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 May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.