NPIMap

Organization Active NPI

Brookdale Senior Living Communities, Inc.

  • Assisted Living Facility
  • Madison, WI
National Provider Identifier
1366844748
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BROOKDALE SENIOR LIVING COMMUNITIES, INC.
Practice address
413 S Yellowstone Dr
Madison, WI 53719-1042
Phone
(608) 277-1010
NPI assigned
Sep 17, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Anna Munoz
Title
Assistant Secretary
Phone
(414) 918-5443

Corporate family (same tax ID) 14

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

View all 14

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
52D1049275Brookdale Madison West413 S Yellowstone Dr, Madison, WI 53719Certificate of waiverDec 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Brookdale Senior Living Communties Inc (248 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

NPPES NPI Registry

Primary practice location

413 S Yellowstone Dr
Madison, WI 53719-1042

Mailing address

429 S Yellowstone Dr
Madison, WI 53719-1021

Other names 2

NPPES NPI Registry
  • Brookdale Madison West AL Doing business as
  • Brookdale Madison West AL/MC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 19, 2024.

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1366844748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 S YELLOWSTONE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 S YELLOWSTONE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191042",
            "telephone_number": "608-277-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE SENIOR LIVING COMMUNITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "414-918-5443"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Madison West AL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookdale Madison West AL/MC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.