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BROOKDALE NORTH EUCLID
NPI 1952631855
Assisted Living Facility in Ontario, CA

Active since December 28, 2009CLIA 05D2213824 · Waiver
1031 N EUCLID AVE, ONTARIO, CA 91762(909) 391-2622 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brookdale North Euclid NPPES

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

BROOKDALE NORTH EUCLID (NPI 1952631855) is a healthcare organization registered as an assisted living facility in Ontario, California and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through February 16, 2027 and lists Anna Munoz, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1952631855
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUMMERVILLE AT COBBCO, INC.
Location Address1031 N EUCLID AVEOntario, CA 91762-1920
Mailing Address1031 N Euclid AveOntario, CA 91762-1920 · (909) 391-2622
Phone(909) 391-2622
Organization SubpartNo
Authorized OfficialAnna MunozAssistant Secretary · (414) 918-5443
Enumeration DateDecember 28, 2009
Last NPPES UpdateAugust 2, 2024
NPPES CertifiedAugust 2, 2024
✔ NPI 1952631855 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.
1031 N EUCLID AVE, Ontario, CA 91762
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Other Names 1

Doing Business AsBrookdale North Euclid

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 05D2213824

Brookdale North Euclid · Ontario, CA
Active · expires Feb 16, 2027
CLIA Number05D2213824
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorJohn M. Geiss
Laboratory Phone(909) 391-2622
Laboratory LocationBrookdale North Euclid1031 N Euclid Ave, Ontario, CA 91762
CLIA data matches this NPI record on: Address 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 Summerville At Cobbco, Inc.'s NPI number?

The NPI number for Summerville At Cobbco, Inc. is 1952631855. It was assigned to this organization in the NPPES registry on December 28, 2009. The provider is doing business as Brookdale North Euclid.

Where is Summerville At Cobbco, Inc. located?

Summerville At Cobbco, Inc. is located at 1031 N Euclid Ave, Ontario, CA 91762. The listed phone number is (909) 391-2622.

What is Summerville At Cobbco, Inc.'s specialty?

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

Does Summerville At Cobbco, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2213824) is associated with this NPI, valid through February 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Summerville At Cobbco, Inc. was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.