Brookdale Senior Living Communities, Inc.
Organization
Active NPI
Assisted Living Facility · Corsicana, TX
NPI 1336205665 · NPPES record last updated Aug 18, 2020
Key facts
- NPI
- 1336205665
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- BROOKDALE SENIOR LIVING COMMUNITIES, INC.
- Practice address
- 3329 W 7TH Ave
Corsicana, TX 75110-4819
- Phone
- (903) 872-8400
- Fax
- (903) 872-8325
- NPI assigned
- Dec 29, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- BROOKDALE SENIOR LIVING INC
Authorized official
- Name
- Joanne Leskowicz
- Title
- Senior Vice President
- Phone
- (414) 918-5000
Corporate family (same tax ID) 23
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Laboratory certificates & supplier records
Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
| 45D2197737 | Brookdale Corsicana 3329 W 7TH Ave, Corsicana, TX 75110 | Certificate of waiver | Oct 26, 2026 |
National Provider Directory
- Tax ID family
- Brookdale Senior Living Communties Inc (248 organizations share this tax ID)
- Part of
- Brookdale Senior Living Inc
Locations
3329 W 7th Ave
Corsicana, TX 75110
Phone (866) 485-5027
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
| Assisted Living Facility |
310400000X |
|
|
Yes |
Addresses
Primary practice location
3329 W 7TH Ave
Corsicana, TX 75110-4819
Mailing address
111 Westwood PL Ste 400
Brentwood, TN 37027-5057
Phone (615) 221-2250
Other identifiers
| Identifier | Type | State | Issuer |
| F500153320 | Medicaid | TX | |
Other names
- Brookdale Corsicana Doing business as
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (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.