Organization Active NPI

Brookdale Senior Living

  • Assisted Living Facility
  • Chicago, IL
National Provider Identifier
1447539416
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
5101776 Issued in IL
Legal business name
BROOKDALE SENIOR LIVING
Practice address
3121 N Sheridan Rd
Chicago, IL 60657-4945
Phone
(773) 404-9800
Fax
(773) 404-7898
NPI assigned
Aug 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Kristina Liszkiewicz
Title
Director of Sales and Marketing
Phone
(773) 832-0886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 5101776 IL Primary

Addresses

Primary practice location

3121 N Sheridan Rd
Chicago, IL 60657-4945

Mailing address

3121 N Sheridan Rd
Chicago, IL 60657-4945
Phone (773) 404-9800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1447539416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574945",
            "telephone_number": "773-404-9800",
            "fax_number": "773-404-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574945",
            "telephone_number": "773-404-9800",
            "fax_number": "773-404-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "LISZKIEWICZ",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "DIRECTOR OF SALES AND MARKETING",
        "authorized_official_telephone_number": "773-832-0886"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "5101776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.