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BROOKDALE MONTCLAIR POULSBO
NPI 1831403377
Assisted Living Facility in Poulsbo, WA

Active since July 26, 2010CLIA 50D2169168 · Waiver
1250 NE LINCOLN RD, POULSBO, WA 98370(360) 697-2223(360) 598-9517 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brookdale Montclair Poulsbo NPPES

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

BROOKDALE MONTCLAIR POULSBO (NPI 1831403377) is a healthcare organization registered as an assisted living facility in Poulsbo, Washington and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Bryan Richardson, Evp, Chief Admin. Officer, as its authorized official.

NPPES Registry Identity

NPI1831403377
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEMERITUS CORPORATION
Location Address1250 NE LINCOLN RDPoulsbo, WA 98370-8558
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Phone(360) 697-2223
Fax(360) 598-9517
Organization SubpartNo
Authorized OfficialBryan RichardsonEvp, Chief Admin. Officer · (615) 564-8131
Enumeration DateJuly 26, 2010
Last NPPES UpdateMay 18, 2016
✔ NPI 1831403377 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.
1250 NE LINCOLN RD, Poulsbo, WA 98370
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Other Names 1

Doing Business AsBrookdale Montclair Poulsbo

Other Identifiers 1

Medicaid720419WA

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 50D2169168

Brookdale Montclair Poulsbo · Poulsbo, WA
Active · expires Apr 4, 2028
CLIA Number50D2169168
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 16, 2019
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMonica Gliva
Laboratory Phone(360) 697-2223
Laboratory LocationBrookdale Montclair Poulsbo1250 NE Lincoln Rd, Poulsbo, WA 98370
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 2

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

MICAH REIDY MS CCC-SLP
Speech-Language Pathologist
1250 NE LINCOLN RD
POULSBO, WA 98370
Kitsap County (800) 967-4667
ELISA JEAN MORRIS DPT
Physical Therapist
1250 NE LINCOLN RD
POULSBO, WA 98370
Kitsap County (360) 295-8952

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 1831403377. It was assigned to this organization in the NPPES registry on July 26, 2010. The provider is doing business as Brookdale Montclair Poulsbo.

Where is Emeritus Corporation located?

Emeritus Corporation is located at 1250 NE Lincoln Rd, Poulsbo, WA 98370. The listed phone number is (360) 697-2223.

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 50D2169168) 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 May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.