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BROOKDALE SENIOR LIVING COMMUNITIES INC. NPI 1447316690


NPI Information

NPI: 1447316690
Provider Name: BROOKDALE SENIOR LIVING COMMUNITIES, INC.

Doing Business As: BROOKDALE ENNIS

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

CLIA Number: 45D2199575

Address:
2500 YORKSTOWN DR
ENNIS, TX
ZIP 75119
Phone: (972) 875-6900
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BROOKDALE SENIOR LIVING COMMUNITIES, INC. is an assisted living facility in Ennis, 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. BROOKDALE SENIOR LIVING COMMUNITIES, INC. NPI is 1447316690. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Ennis.

The provider's business location address is:

2500 YORKSTOWN DR
ENNIS, TX
ZIP 75119-199
Phone: (972) 875-6900
Fax: (972) 875-6935

The provider's authorized official is Joanne 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 45D2199575 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 8/18/2020.


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
1310400000XAssisted Living FacilityYes

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
1F500300730MEDICAIDTEXAS

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

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