ESC IV LP NPI 1427271980

NPI Information

NPI: 1427271980
Provider Name: ESC IV LP

Doing Business As: BROOKDALE LONGVIEW

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 45D2195424

Address:
2920 N EASTMAN RD
LONGVIEW, TX
ZIP 75605
Phone: (903) 757-6020
Get Directions

ESC IV LP is an assisted living facility in Longview, TX. The provider is 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. ESC IV LP NPI is 1427271980. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Longview.

The provider's business location address is:

2920 N EASTMAN RD
LONGVIEW, TX
ZIP 75605-099
Phone: (903) 757-6020
Fax: (903) 757-2491

The provider's authorized official is Joanne K Leskowicz .
The authorized official title is Senior Vice President and has the following contact phone number (414) 918-5000.

The CLIA number assigned to this NPI record is 45D2195424 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 8/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F500151080	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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