BROOKDALE FILLMORE POND
NPI 1861776080
Assisted Living Facility in Bennington, VT

Active since October 06, 2011CLIA 47D2198043 · Waiver
300 VILLAGE LN, BENNINGTON, VT 05201(802) 447-7000 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 Fillmore Pond NPPES

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

BROOKDALE FILLMORE POND (NPI 1861776080) is a healthcare organization registered as an assisted living facility in Bennington, Vermont and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through October 28, 2026 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1861776080
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEMERITUS CORPORATION
Location Address300 VILLAGE LNBennington, VT 05201-9041
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Organization SubpartYesParent: Brookdale Senior Living Inc
Authorized OfficialJoanne K LeskowiczSenior Vice President · (414) 918-5000
Enumeration DateOctober 6, 2011
Last NPPES UpdateJuly 21, 20202 updates tracked since enumeration
NPPES CertifiedJuly 21, 2020
NPI 1861776080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in VT · 310
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.

300 VILLAGE LN, Bennington, VT 05201

Other Names 1

Doing Business AsBrookdale Fillmore Pond

Other Identifiers 1

Medicaid047W322VT

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 47D2198043

Brookdale Fillmore Pond · Bennington, VT
Active · expires Oct 28, 2026
CLIA Number47D2198043
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorLynne Stratton
Laboratory Phone(802) 447-7000
Laboratory LocationBrookdale Fillmore Pond300 Village Ln, Bennington, VT 05201
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.

Physical Therapist
300 VILLAGE LN
BENNINGTON, VT 05201
Physical Therapist
300 VILLAGE LN
BENNINGTON, VT 05201

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 1861776080. It was assigned to this organization in the NPPES registry on October 6, 2011. The provider is doing business as Brookdale Fillmore Pond.

Where is Emeritus Corporation located?

Emeritus Corporation is located at 300 Village Ln, Bennington, VT 05201. The listed phone number is (802) 447-7000.

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 47D2198043) is associated with this NPI, valid through October 28, 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 Corporation was last updated on July 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.