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BROOKDALE HICKORY NORTHEAST
NPI 1740345727
Assisted Living Facility in Hickory, NC

Active since December 27, 2006CLIA 34D2017640 · Waiver
2530 16TH ST NE, HICKORY, NC 28601(828) 324-5400(828) 326-9770 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 Hickory Northeast NPPES

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

BROOKDALE HICKORY NORTHEAST (NPI 1740345727) is a healthcare organization registered as an assisted living facility in Hickory, North Carolina and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through December 13, 2026 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1740345727
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSOUTHERN ASSISTED LIVING, LLC.
Location Address2530 16TH ST NEHickory, NC 28601-7603
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Phone(828) 324-5400
Fax(828) 326-9770
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 1740345727 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.
2530 16TH ST NE, Hickory, NC 28601
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Other Names 1

Doing Business AsBrookdale Hickory Northeast

Other Identifiers 1

Medicaid7803882NC

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 34D2017640

Brookdale Hickory NE · Hickory, NC
Active · expires Dec 13, 2026
CLIA Number34D2017640
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 14, 2024
Certificate Expiration DateDecember 13, 2026
Laboratory DirectorTina Rippy
Laboratory Phone(828) 324-5400
Laboratory LocationBrookdale Hickory NE2530 16th St NE, Hickory, NC 28601
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.

HICKORY MANOR
Assisted Living Facility
2530 16TH ST NE
HICKORY, NC 28601
Catawba County (828) 324-5400

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 1740345727. It was assigned to this organization in the NPPES registry on December 27, 2006. The provider is doing business as Brookdale Hickory Northeast.

Where is Southern Assisted Living, LLC. located?

Southern Assisted Living, LLC. is located at 2530 16th St NE, Hickory, NC 28601. The listed phone number is (828) 324-5400.

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 34D2017640) is associated with this NPI, valid through December 13, 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.