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BROOKDALE MACARTHUR PARK
NPI 1710042874
Assisted Living Facility in Cary, NC

Active since December 27, 2006CLIA 34D2017850 · Waiver
111 MACARTHUR DR, CARY, NC 27513(919) 460-5959(919) 460-4504 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brookdale Macarthur Park NPPES

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

BROOKDALE MACARTHUR PARK (NPI 1710042874) is a healthcare organization registered as an assisted living facility in Cary, North Carolina and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1710042874
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSOUTHERN ASSISTED LIVING, LLC.
Location Address111 MACARTHUR DRCary, NC 27513-8900
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Phone(919) 460-5959
Fax(919) 460-4504
Organization SubpartYesParent: Brookdale Senior Living Inc
Authorized OfficialJoanne K LeskowiczSenior Vice President · (414) 918-5000
Enumeration DateDecember 27, 2006
Last NPPES UpdateApril 7, 2021
NPPES CertifiedApril 7, 2021
✔ NPI 1710042874 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.
111 MACARTHUR DR, Cary, NC 27513
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Other Names 1

Doing Business AsBrookdale Macarthur Park

Other Identifiers 1

Medicaid7803516NC

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 34D2017850

Brookdale Macarthur Park · Cary, NC
Active · expires Dec 19, 2026
CLIA Number34D2017850
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorGrant Fessler
Laboratory Phone(919) 460-5959
Laboratory LocationBrookdale Macarthur Park111 Macarthur Drive, Cary, NC 27513
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 2

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

OLIVER BRAND
Occupational Therapist
111 MACARTHUR DR
CARY, NC 27513
Wake County (919) 460-5959
MR. JAMES PETER SHERER PT
Physical Therapist
111 MACARTHUR DR
CARY, NC 27513
Wake County (919) 460-5959

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 Southern Assisted Living, LLC.'s NPI number?

The NPI number for Southern Assisted Living, LLC. is 1710042874. It was assigned to this organization in the NPPES registry on December 27, 2006. The provider is doing business as Brookdale Macarthur Park.

Where is Southern Assisted Living, LLC. located?

Southern Assisted Living, LLC. is located at 111 Macarthur Dr, Cary, NC 27513. The listed phone number is (919) 460-5959.

What is Southern Assisted Living, LLC.'s specialty?

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

Does Southern Assisted Living, LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2017850) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Assisted Living, LLC. was last updated on April 7, 2021. 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.