NPIMap

Organization Active NPI

Esc IV, LP

  • Assisted Living Facility
  • Waco, TX
National Provider Identifier
1023239498
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ESC IV, LP
Practice address
3801 Martin Luther King Jr BVD
Waco, TX 76708
Phone
(254) 714-2222
Fax
(254) 714-0023
NPI assigned
May 1, 2007
Organization subpart
Yes
Parent organization
BROOKDALE SENIOR LIVING INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joanne K Leskowicz
Title
Senior Vice President
Phone
(414) 918-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3801 Martin Luther King Jr BVD
Waco, TX 76708

Mailing address

111 Westwood PL Ste 400
Brentwood, TN 37027-5057
Phone (615) 221-2250

Other identifiers 1

IdentifierTypeStateIssuer
F500300740MedicaidTX

Other names 1

  • Brookdale Lake Brazos Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2194434Brookdale Lake Brazos3801 N Martin Luther King Jr Blvd, Waco, TX 76708Certificate of waiverSep 29, 2026

National Provider Directory

National Provider Directory
Tax ID family
Brookdale Beckett Meadows18 organizations share this tax ID, including this one
Part of
Brookdale Senior Living Inc

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1023239498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WESTWOOD PL STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275057",
            "telephone_number": "615-221-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MARTIN LUTHER KING JR BVD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76708",
            "telephone_number": "254-714-2222",
            "fax_number": "254-714-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESC IV, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "LESKOWICZ",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "414-918-5000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F500300740",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Lake Brazos",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookdale Lake Brazos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.