Organization Active NPI

Emeritol Meadowbrook LLC

Doing business as Brookdale Ontario

  • Assisted Living Facility
  • Ontario, OR
National Provider Identifier
1316503725
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EMERITOL MEADOWBROOK LLC
Doing business as
Brookdale Ontario
Practice address
1372 SW 8TH Ave
Ontario, OR 97914-3271
Phone
(541) 889-4600
NPI assigned
May 13, 2019
Organization subpart
Yes
Parent organization
BROOKDALE SENIOR LIVING INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

1372 SW 8TH Ave
Ontario, OR 97914-3271

Mailing address

1372 SW 8TH Ave
Ontario, OR 97914-3271
Phone (541) 889-4600

Other names 1

  • Brookdale Ontario 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
38D2203023Brookdale Ontario1372 SW 8TH Ave, Ontario, OR 97914Certificate of waiverDec 1, 2026

National Provider Directory

National Provider Directory
Part of
Brookdale Senior Living Inc

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1316503725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 SW 8TH AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979143271",
            "telephone_number": "541-889-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 SW 8TH AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979143271",
            "telephone_number": "541-889-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERITOL MEADOWBROOK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Ontario",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.