S-H Opco Northpark Place, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

S-H OPCO NORTHPARK PLACE, LLC

Doing business as

Brookdale Sioux City

Practice address

2562 Pierce St
Sioux City, IA 51104-3706

Phone

(712) 255-1200

NPI assigned

Aug 1, 2014

Last updated

Dec 12, 2017By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Brookdale Sioux City Doing business as

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1720496854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST",
            "address_2": "SUITE 2300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532145647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2562 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043706",
            "telephone_number": "712-255-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S-H OPCO NORTHPARK PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2017-12-12",
        "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 Sioux City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evan Ruterbories, DC
• Ryan J Canada DMD PLLC
• Bonnie Ivadell Ryan, RN
• Laressa Ryan, NP
• Kelly Ryder, M.D.
• Mohammad Amr Sabbagh, MD
• Holly Marie Sachau
• Kelly Jean Sachau, LMHC
• Sacred Encounter Hospice NW Iowa, LLC (Sacred Encounter Hospice)
• Shawn Rene Salmen, NP-C

• Assisted Living Facility in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.