BROOKDALE REIDSVILLE
NPI 1861558728
Assisted Living Facility in Reidsville, NC
About Brookdale Reidsville NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKDALE REIDSVILLE (NPI 1861558728) is a healthcare organization registered as an assisted living facility in Reidsville, North Carolina and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Other Names 1
Other Identifiers 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 34D2017859
Brookdale Reidsville · Reidsville, NCFrequently 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 1861558728. It was assigned to this organization in the NPPES registry on December 28, 2006. The provider is doing business as Brookdale Reidsville.
Where is Southern Assisted Living, LLC. located?
Southern Assisted Living, LLC. is located at 2931 Vance Street, Reidsville, NC 27320. The listed phone number is (336) 634-0002.
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 34D2017859) is associated with this NPI, valid through December 19, 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 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.
