Active NPI
Brookdale Place of Augusta, LLC
Doing business as Brookdale Augusta
- Assisted Living Facility
- Augusta, GA
National Provider Identifier
1336838689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- BROOKDALE PLACE OF AUGUSTA, LLC
- Doing business as
- Brookdale Augusta
- Practice address
- 326 Boy Scout Rd
Augusta, GA 30909-2006 - Phone
- (706) 738-6003
- NPI assigned
- May 3, 2023
- Last updated
- May 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joanne Leskowicz
- Title
- Senior Vice President
- Phone
- (414) 918-5000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
326 Boy Scout Rd
Augusta, GA 30909-2006
Mailing address
6737 W Washington St Ste 2300
Milwaukee, WI 53214-5650
Phone (414) 918-5332
Other names 1
- Brookdale Augusta
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0991400 | Brookdale Place of Augusta, LLC Dba Brookdale | Certificate of waiver | Feb 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
326 Boy Scout Rd
Augusta, GA 30909
Phone (706) 723-8797
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Augusta, GA
- NPI 1316654882
-
- Internal Medicine Physician
- Aiken, SC
- NPI 1407959976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683072000000",
"number": "1336838689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6737 W WASHINGTON ST STE 2300",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532145650",
"telephone_number": "414-918-5332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 BOY SCOUT RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309092006",
"telephone_number": "706-738-6003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKDALE PLACE OF AUGUSTA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-03",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A",
"authorized_official_last_name": "LESKOWICZ",
"authorized_official_first_name": "JOANNE",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brookdale Augusta",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.