BROOKDALE LAKESHORE
NPI 1891851085
Assisted Living Facility in Waco, TX

Q: What is Brookdale Senior Living Communities, Inc.'s specialty?

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

Active since December 29, 2006CLIA 45D2193698 · Waiver

1700 LAKE SHORE DR, WACO, TX 76708(254) 754-7900(254) 754-1047 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 10, 2024, Aug 18, 2020 (2 updates tracked since 2020).

On this page

About Brookdale Lakeshore NPPES

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

BROOKDALE LAKESHORE (NPI 1891851085) is a healthcare organization registered as an assisted living facility in Waco, Texas and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through September 22, 2026 and lists Anna Munoz, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1891851085

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBROOKDALE SENIOR LIVING COMMUNITIES, INC.

Location Address1700 LAKE SHORE DRWaco, TX 76708-3737

Mailing Address1700 Lake Shore DrWaco, TX 76708-3737 · (254) 754-7900

Phone(254) 754-7900

Fax(254) 754-1047

Organization SubpartNo

Authorized OfficialAnna MunozAssistant Secretary · (414) 918-5443

Enumeration DateDecember 29, 2006

Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2024

✔ NPI 1891851085 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.

1700 LAKE SHORE DR, Waco, TX 76708

Open in Google Maps ↗

Other Names 1

Doing Business AsBrookdale Lakeshore

Other Identifiers 1

MedicaidF500150280TX

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 45D2193698

Brookdale Lakeshore · Waco, TX

Active · expires Sep 22, 2026

CLIA Number45D2193698

Laboratory TypeAssisted Living Facility

Certificate Effective DateSeptember 23, 2024

Certificate Expiration DateSeptember 22, 2026

Laboratory DirectorBetty J. Healey

Laboratory Phone(254) 754-7900

Laboratory LocationBrookdale Lakeshore1700 Lakeshore Dr, Waco, TX 76708

CLIA data matches this NPI record on: Name Phone

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 Brookdale Senior Living Communities, Inc.'s NPI number?

The NPI number for Brookdale Senior Living Communities, Inc. is 1891851085. It was assigned to this organization in the NPPES registry on December 29, 2006. The provider is doing business as Brookdale Lakeshore.

Where is Brookdale Senior Living Communities, Inc. located?

Brookdale Senior Living Communities, Inc. is located at 1700 Lake Shore Dr, Waco, TX 76708. The listed phone number is (254) 754-7900.

What is Brookdale Senior Living Communities, Inc.'s specialty?

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

Does Brookdale Senior Living Communities, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2193698) is associated with this NPI, valid through September 22, 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 Brookdale Senior Living Communities, Inc. was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.