BROOKDALE CANTON
NPI 1689901563
Assisted Living Facility in Canton, OH

Active since November 12, 2009CLIA 36D0971937 · Waiver
1119 PERRY DR NW, CANTON, OH 44708(330) 479-1121(330) 479-1756 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brookdale Canton NPPES

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

BROOKDALE CANTON (NPI 1689901563) is a healthcare organization registered as an assisted living facility in Canton, Ohio and active in the NPI registry since November 2009. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1689901563
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBROOKDALE SENIOR LIVING COMMUNITIES INC
Location Address1119 PERRY DR NWCanton, OH 44708-3374
Mailing Address1119 Perry Dr NwCanton, OH 44708-3374 · (330) 479-1121 · Fax (330) 479-1756
Fax(330) 479-1756
Organization SubpartYesParent: Brookdale Senior Living Inc
Authorized OfficialJoanne K LeskowiczSenior Vice President · (414) 918-5000
Enumeration DateNovember 12, 2009
Last NPPES UpdateNovember 17, 2020
NPPES CertifiedNovember 17, 2020
NPI 1689901563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in OH · 2197R
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.
1119 PERRY DR NW, Canton, OH 44708

Other Names 1

Doing Business AsBrookdale Canton

Other Identifiers 1

Medicaid3042184OH

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 36D0971937

Brookdale Canton · Canton, OH
Active · expires Jan 3, 2027
CLIA Number36D0971937
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorCatherine Adolph
Laboratory Phone(330) 479-1121
Laboratory LocationBrookdale Canton1119 Perry Drive NW, Canton, OH 44708
CLIA data matches this NPI record on: Address 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.

Physical Therapist
1119 PERRY DR NW
CANTON, OH 44708

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 1689901563. It was assigned to this organization in the NPPES registry on November 12, 2009. The provider is doing business as Brookdale Canton.

Where is Brookdale Senior Living Communities Inc located?

Brookdale Senior Living Communities Inc is located at 1119 Perry Dr NW, Canton, OH 44708. The listed phone number is (330) 479-1121.

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 36D0971937) is associated with this NPI, valid through January 3, 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 November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.