EMERITOL EVERGREEN LODGE LLC
NPI 1710545371
Assisted Living Facility in Federal Way, WA

Q: What is Emeritol Evergreen Lodge LLC's NPI number?

The NPI number for Emeritol Evergreen Lodge LLC is 1710545371. It was assigned to this organization in the NPPES registry on May 30, 2019. The provider is doing business as Brookdale Federal Way.

Q: What is Emeritol Evergreen Lodge LLC's specialty?

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

Active since May 30, 2019

31002 14TH AVE S, FEDERAL WAY, WA 98003(253) 941-0156 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Emeritol Evergreen Lodge Llc NPPES

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

EMERITOL EVERGREEN LODGE LLC (NPI 1710545371), doing business as Brookdale Federal Way, is a healthcare organization registered as an assisted living facility in Federal Way, Washington and active in the NPI registry since May 2019. The organization lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1710545371

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameEMERITOL EVERGREEN LODGE LLC

Location Address31002 14TH AVE SFederal Way, WA 98003-4712

Mailing Address31002 14th Ave SFederal Way, WA 98003-4712 · (253) 941-0156

Phone(253) 941-0156

Organization SubpartYesParent: Brookdale Senior Living Inc

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

Enumeration DateMay 30, 2019

✔ NPI 1710545371 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.

31002 14TH AVE S, Federal Way, WA 98003

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Other Names 1

Doing Business AsBrookdale Federal Way

Other Providers at the Same Location NPPES

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

EMERITUS CORPORATION

Assisted Living Facility

31002 14TH AVE S
FEDERAL WAY, WA 98003

King County (253) 941-0156

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 Emeritol Evergreen Lodge LLC's NPI number?

The NPI number for Emeritol Evergreen Lodge LLC is 1710545371. It was assigned to this organization in the NPPES registry on May 30, 2019. The provider is doing business as Brookdale Federal Way.

Where is Emeritol Evergreen Lodge LLC located?

Emeritol Evergreen Lodge LLC is located at 31002 14th Ave S, Federal Way, WA 98003. The listed phone number is (253) 941-0156.

What is Emeritol Evergreen Lodge LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Emeritol Evergreen Lodge LLC was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.