MANLIUS CLARE BRIDGE OPERATOR, INC.
NPI 1720778111
Assisted Living Facility in Fayetteville, NY
About Manlius Clare Bridge Operator, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANLIUS CLARE BRIDGE OPERATOR, INC. (NPI 1720778111), doing business as Brookdale Fayetteville, is a healthcare organization registered as an assisted living facility in Fayetteville, New York and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Joanne Leskowicz, Senior Vice President, 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 33D2213690
Manlius Clare Bridge Operator Dba Brookdale Fayetteville · Fayetteville, NYFrequently 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 Manlius Clare Bridge Operator, Inc.'s NPI number?
The NPI number for Manlius Clare Bridge Operator, Inc. is 1720778111. It was assigned to this organization in the NPPES registry on May 10, 2023. The provider is doing business as Brookdale Fayetteville.
Where is Manlius Clare Bridge Operator, Inc. located?
Manlius Clare Bridge Operator, Inc. is located at 5125 Highbridge St, Fayetteville, NY 13066. The listed phone number is (315) 637-2000.
What is Manlius Clare Bridge Operator, Inc.'s specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Manlius Clare Bridge Operator, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2213690) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Manlius Clare Bridge Operator, Inc. was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Manlius Clare Bridge Operator, Inc. · NPI 1720778111
Assisted Living Facility organization in Fayetteville, New York. Organization record, active in the CMS NPPES registry since May 10, 2023.
## Identity
- **NPI:** 1720778111 (Entity type: Organization)
- **Enumerated:** May 10, 2023
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Also known as:** Brookdale Fayetteville (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Joanne Leskowicz, SENIOR VICE PRESIDENT
## Practice location
- **Address:** 5125 HIGHBRIDGE ST, Fayetteville, NY 13066-2111
- **Phone:** (315) 637-2000
## Record status
- **NPPES last updated:** May 10, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1720778111) · Data from the CMS NPPES public registry.