NPIMap

Organization Active NPI

Brookdale Senior Living Communities Inc

Doing business as Brookdale Springdale

  • Assisted Living Facility
  • Springdale, OH
National Provider Identifier
1720320369
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2156R Issued in OH
Legal business name
BROOKDALE SENIOR LIVING COMMUNITIES INC
Doing business as
Brookdale Springdale
Practice address
11320 Springfield Pike
Springdale, OH 45246-4200
Phone
(513) 772-7878
Fax
(513) 772-7875
NPI assigned
Mar 21, 2013
Last updated
Nov 17, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
BROOKDALE SENIOR LIVING INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2156R OH Primary

Addresses

Primary practice location

11320 Springfield Pike
Springdale, OH 45246-4200

Mailing address

11320 Springfield Pike
Springdale, OH 45246-4200
Phone (513) 772-7878

Other identifiers 1

IdentifierTypeStateIssuer
0099426MedicaidOH

Other names 1

  • Brookdale Springdale Doing business as

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
36D2066139Brookdale Springdale11320 Springfield Pike, Springdale, OH 45246Certificate of waiverSep 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Brookdale Senior Living Communities Inc248 organizations share this tax ID, including this one
Part of
Brookdale Senior Living Inc

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1720320369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11320 SPRINGFIELD PIKE",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452464200",
            "telephone_number": "513-772-7878",
            "fax_number": "513-772-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11320 SPRINGFIELD PIKE",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452464200",
            "telephone_number": "513-772-7878",
            "fax_number": "513-772-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE SENIOR LIVING COMMUNITIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
        "enumeration_date": "2013-03-21",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "LESKOWICZ",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "K",
        "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": "OH",
            "license": "2156R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099426",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Springdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springdale, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.