BROOKDALE PLYMOUTH
NPI 1720144363
Assisted Living Facility in Plymouth, MN
About Brookdale Plymouth NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKDALE PLYMOUTH (NPI 1720144363) is a healthcare organization registered as an assisted living facility in Plymouth, Minnesota and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through October 3, 2026 and lists Anna Munoz, Assistant Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 24D1031567
Brookdale Plymouth · Plymouth, MNOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1720144363. It was assigned to this organization in the NPPES registry on December 28, 2006. The provider is doing business as Brookdale Plymouth.
Where is Brookdale Senior Living Communities, Inc. located?
Brookdale Senior Living Communities, Inc. is located at 15855 22nd Ave N, Plymouth, MN 55447. The listed phone number is (763) 476-8200.
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 24D1031567) is associated with this NPI, valid through October 3, 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 Brookdale Senior Living Communities, Inc. was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Brookdale Plymouth · NPI 1720144363
Assisted Living Facility organization in Plymouth, Minnesota. Organization record, active in the CMS NPPES registry since December 28, 2006.
## Identity
- **NPI:** 1720144363 (Entity type: Organization)
- **Enumerated:** December 28, 2006
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Brookdale Senior Living Communities, Inc.
- **Organization subpart:** No
- **Authorized official:** Anna Munoz, ASSISTANT SECRETARY
## Practice location
- **Address:** 15855 22ND AVE N, Plymouth, MN 55447-6452
- **Phone:** (763) 476-8200
## Record status
- **NPPES last updated:** April 4, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720144363) · Data from the CMS NPPES public registry.