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Brookdale Senior Living Communities, Inc.

Organization Active NPI Assisted Living Facility · Jacksonville, FL

NPI 1679262240 · NPPES record last updated May 1, 2023

Key facts

NPI
1679262240
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
BROOKDALE SENIOR LIVING COMMUNITIES, INC.
Practice address
4455 Merrimac Ave
Jacksonville, FL 32210-1814
Phone
(904) 389-5959
NPI assigned
May 1, 2023
Organization subpart
No

Authorized official

Name
Joanne K Leskowicz
Title
Senior Vice President
Phone
(414) 918-5000

Corporate family (same tax ID) 21

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

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 numberLaboratoryCertificateExpires
10D0934708Brookdale Avondale
4455 Merrimac Avenue, Jacksonville, FL 32210		Certificate of waiverMay 21, 2027

National Provider Directory

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

4455 Merrimac Ave
Jacksonville, FL 32210-1814

Mailing address

6737 W Washington St Ste 2300
Milwaukee, WI 53214-5650
Phone (414) 918-5000

Other names

  • Brookdale Avondale Doing business as

Other providers in Jacksonville, FL

All providers in Jacksonville, FL · Assisted Living Facility in Florida

Sources for this page

Verify at the official NPI Registry.