BROOKDALE NORTH MESA
NPI 1790908689
Assisted Living Facility in Masa, AZ

Active since April 10, 2007CLIA 03D2122518 · Waiver
2122 EAST BROWN ROAD, MASA, AZ 85213(206) 298-2909(206) 301-4500 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 18, 2023, May 12, 2016 (2 updates tracked since 2016).

About Brookdale North Mesa NPPES

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

BROOKDALE NORTH MESA (NPI 1790908689) is a healthcare organization registered as an assisted living facility in Masa, Arizona and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through November 29, 2026 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1790908689
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEMERITUS PROPERTIES NGH, LLC
Location Address2122 EAST BROWN ROADMasa, AZ 85213-5200
Mailing Address2122 E Brown RdMesa, AZ 85213-5200
Fax(206) 301-4500
Organization SubpartNo
Authorized OfficialJoanne K LeskowiczSenior Vice President · (414) 918-5000
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
NPI 1790908689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Licenses Licensed in AZ · ALC-4036 Licensed in AZ · ALC4036
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.

2122 EAST BROWN ROAD, Masa, AZ 85213

Other Names 1

Doing Business AsBrookdale North Mesa

Other Identifiers 1

Medicaid700122AZ

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 03D2122518

Emeritus Properties - Ngh, LLC Dba Brookdale North Mesa · Mesa, AZ
Active · expires Nov 29, 2026
CLIA Number03D2122518
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 30, 2024
Certificate Expiration DateNovember 29, 2026
Laboratory DirectorMari Fujita
Laboratory Phone(480) 964-8788
Laboratory LocationEmeritus Properties - Ngh, LLC Dba Brookdale North Mesa2122 E Brown Rd, Mesa, AZ 85213
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Properties Ngh, LLC's NPI number?

The NPI number for Emeritus Properties Ngh, LLC is 1790908689. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is Emeritus Properties Ngh, LLC located?

Emeritus Properties Ngh, LLC is located at 2122 East Brown Road, Masa, AZ 85213. The listed phone number is (206) 298-2909.

What is Emeritus Properties Ngh, LLC's specialty?

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

Does Emeritus Properties Ngh, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2122518) is associated with this NPI, valid through November 29, 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 Emeritus Properties Ngh, LLC was last updated on July 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.