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BROOKDALE SALISBURY
NPI 1982760856
Assisted Living Facility in Salisbury, NC

Active since December 28, 2006CLIA 34D2181186 · Waiver
2201 STATESVILLE BLVD, SALISBURY, NC 28147(704) 636-0588(704) 639-1146 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brookdale Salisbury NPPES

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

BROOKDALE SALISBURY (NPI 1982760856) is a healthcare organization registered as an assisted living facility in Salisbury, North Carolina and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2028 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1982760856
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSOUTHERN ASSISTED LIVING, LLC.
Location Address2201 STATESVILLE BLVDSalisbury, NC 28147-7108
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Phone(704) 636-0588
Fax(704) 639-1146
Organization SubpartYesParent: Brookdale Senior Living Inc
Authorized OfficialJoanne K LeskowiczSenior Vice President · (414) 918-5000
Enumeration DateDecember 28, 2006
Last NPPES UpdateApril 8, 2021
NPPES CertifiedApril 8, 2021
✔ NPI 1982760856 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.
2201 STATESVILLE BLVD, Salisbury, NC 28147
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Other Names 1

Doing Business AsBrookdale Salisbury

Other Identifiers 1

Medicaid7803890NC

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 34D2181186

Southern Assisted Living, LLC Dba Brookdale Salisbury · Salisbury, NC
Active · expires Mar 26, 2028
CLIA Number34D2181186
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorMelissa K. Castle
Laboratory Phone(704) 636-0588
Laboratory LocationSouthern Assisted Living, LLC Dba Brookdale Salisbury2201 Statesville Boulevard, Salisbury, NC 28147
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 Southern Assisted Living, LLC.'s NPI number?

The NPI number for Southern Assisted Living, LLC. is 1982760856. It was assigned to this organization in the NPPES registry on December 28, 2006. The provider is doing business as Brookdale Salisbury.

Where is Southern Assisted Living, LLC. located?

Southern Assisted Living, LLC. is located at 2201 Statesville Blvd, Salisbury, NC 28147. The listed phone number is (704) 636-0588.

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 34D2181186) is associated with this NPI, valid through March 26, 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 Southern Assisted Living, LLC. was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.