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BROOKDALE EVERETT
NPI 1720113608
Assisted Living Facility in Everett, WA

Active since February 22, 2007CLIA 50D2096731 · Waiver
11333 3RD PL W, EVERETT, WA 98204(425) 347-0372(425) 353-5449 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2020, May 18, 2016 (2 updates tracked since 2016).

About Brookdale Everett NPPES

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

BROOKDALE EVERETT (NPI 1720113608) is a healthcare organization registered as an assisted living facility in Everett, Washington and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1720113608
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEMERITUS CORPORATION
Location Address11333 3RD PL WEverett, WA 98204-4948
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Phone(425) 347-0372
Fax(425) 353-5449
Organization SubpartYesParent: Brookdale Senior Living Inc
Authorized OfficialJoanne K LeskowiczSenior Vice President · (414) 918-5000
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 21, 20202 updates tracked since enumeration
NPPES CertifiedJuly 21, 2020
✔ NPI 1720113608 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 WA · 2285
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.
11333 3RD PL W, Everett, WA 98204
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Other Names 1

Doing Business AsBrookdale Everett

Other Identifiers 1

Medicaid596414WA

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 50D2096731

Brookdale At Everett · Everett, WA
Active · expires Apr 4, 2028
CLIA Number50D2096731
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 1, 2015
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDavid Simbolon
Laboratory Phone(425) 347-0372
Laboratory LocationBrookdale At Everett11333 3rd Pl W, Everett, WA 98204
CLIA data matches this NPI record on: Address 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.

PREMERE REHAB, LLC
Physical Therapist
11333 3RD PL W
EVERETT, WA 98204
Snohomish County (425) 347-0372

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 Emeritus Corporation's NPI number?

The NPI number for Emeritus Corporation is 1720113608. It was assigned to this organization in the NPPES registry on February 22, 2007. The provider is doing business as Brookdale Everett.

Where is Emeritus Corporation located?

Emeritus Corporation is located at 11333 3rd Pl W, Everett, WA 98204. The listed phone number is (425) 347-0372.

What is Emeritus Corporation's specialty?

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

Does Emeritus Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2096731) is associated with this NPI, valid through April 4, 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 Emeritus Corporation was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.