Active NPI
Arc Shadow Lake, L.P.
- Assisted Living Facility
- Houston, TX
National Provider Identifier
1447941109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- ARC SHADOW LAKE, L.P.
- Doing business as
- Brookdale Shadowlake
- Practice address
- 2835 Shadowbriar Dr
Houston, TX 77077-3267 - Phone
- (281) 759-6700
- NPI assigned
- May 15, 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 | Primary |
Addresses
Primary practice location
2835 Shadowbriar Dr
Houston, TX 77077-3267
Mailing address
6737 W Washington St Ste 2300
Milwaukee, WI 53214-5650
Phone (414) 918-5000
Other names 1
- Brookdale Shadowlake
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684108800000",
"number": "1447941109",
"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": "414-918-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 SHADOWBRIAR DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770773267",
"telephone_number": "281-759-6700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARC SHADOW LAKE, L.P.",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-15",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brookdale Shadowlake",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.