BROOKDALE COURTYARD PUYALLUP
NPI 1821132440
Assisted Living Facility in Puyallup, WA

Active since February 16, 2007CLIA 50D2156199 · Waiver
4610 6TH STREET PL SE, PUYALLUP, WA 98374(253) 841-9722(253) 435-5466 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

About Brookdale Courtyard Puyallup NPPES

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

BROOKDALE COURTYARD PUYALLUP (NPI 1821132440) is a healthcare organization registered as an assisted living facility in Puyallup, 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

NPI1821132440
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEMERITUS CORPORATION
Location Address4610 6TH STREET PL SEPuyallup, WA 98374-5791
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Fax(253) 435-5466
Organization SubpartNo
Authorized OfficialJoanne K LeskowiczSenior Vice President · (414) 918-5000
Enumeration DateFebruary 16, 2007
Last NPPES UpdateJuly 21, 20202 updates tracked since enumeration
NPPES CertifiedJuly 21, 2020
NPI 1821132440 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.
4610 6TH STREET PL SE, Puyallup, WA 98374

Other Names 1

Doing Business AsBrookdale Courtyard Puyallup

Other Identifiers 1

Medicaid632022WA

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 50D2156199

Brookdale Courtyard Puyallup · Puyallup, WA
Active · expires Apr 4, 2028
CLIA Number50D2156199
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 11, 2018
Certificate Expiration DateApril 4, 2028
Laboratory DirectorCandace Thompson
Laboratory Phone(253) 841-9722
Laboratory LocationBrookdale Courtyard Puyallup4610 6th Street Pl SE, Puyallup, WA 98374
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
4610 6TH STREET PL SE
PUYALLUP, WA 98374
Occupational Therapy Assistant
4610 6TH STREET PL SE
PUYALLUP, WA 98374
Family Medicine
4610 6TH STREET PL SE
PUYALLUP, WA 98374

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 1821132440. It was assigned to this organization in the NPPES registry on February 16, 2007. The provider is doing business as Brookdale Courtyard Puyallup.

Where is Emeritus Corporation located?

Emeritus Corporation is located at 4610 6th Street Pl SE, Puyallup, WA 98374. The listed phone number is (253) 841-9722.

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 50D2156199) 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 with the weekly NPPES data releases published by CMS.