BROOKDALE PIQUA - NPI 1700028875 - Assisted Living Facility in Piqua, OH

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.

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About Brookdale Piqua NPPES

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

BROOKDALE PIQUA (NPI 1700028875) is a healthcare organization registered as an assisted living facility in Piqua, Ohio and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through May 31, 2028 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1700028875

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBROOKDALE SENIOR LIVING COMMUNITIES INC

Location Address1744 W HIGH STPiqua, OH 45356-8332

Mailing Address1744 W High StPiqua, OH 45356-8332 · (937) 773-0500 · Fax (937) 773-8521

Phone(937) 773-0500

Fax(937) 773-8521

Organization SubpartYesParent: Brookdale Senior Living Inc

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

Enumeration DateApril 3, 2009

Last NPPES UpdateNovember 17, 2020

NPPES CertifiedNovember 17, 2020

✔ NPI 1700028875 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.

1744 W HIGH ST, Piqua, OH 45356

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Other Names 1

Doing Business AsBrookdale Piqua

Other Identifiers 1

Medicaid2935784OH

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 36D0974216

Brookdale Piqua · Piqua, OH

Active · expires May 31, 2028

CLIA Number36D0974216

Laboratory TypeAssisted Living Facility

Certificate Effective DateJune 1, 2026

Certificate Expiration DateMay 31, 2028

Laboratory DirectorJonda Brown

Laboratory Phone(937) 773-0500

Laboratory LocationBrookdale Piqua1744 West High Street, Piqua, OH 45356

CLIA data matches this NPI record on: Address 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 1700028875. It was assigned to this organization in the NPPES registry on April 3, 2009. The provider is doing business as Brookdale Piqua.

Where is Brookdale Senior Living Communities Inc located?

Brookdale Senior Living Communities Inc is located at 1744 W High St, Piqua, OH 45356. The listed phone number is (937) 773-0500.

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 36D0974216) is associated with this NPI, valid through May 31, 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 November 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.