NPIMap

Organization Active NPI

Brea Peoria, LLC

  • Assisted Living Facility
  • Peoria, AZ
National Provider Identifier
1982931002
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL6220C Issued in AZ
Legal business name
BREA PEORIA, LLC
Practice address
9296 W Union Hills Dr
Peoria, AZ 85382-8158
Phone
(623) 362-2700
Fax
(623) 362-2990
NPI assigned
Nov 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL6220C AZ Primary
Alzheimer Center (Dementia Center) 311500000X AL6220C AZ

Addresses

Primary practice location

9296 W Union Hills Dr
Peoria, AZ 85382-8158

Mailing address

9296 W Union Hills Dr
Peoria, AZ 85382-8215
Phone (623) 362-2700

Other identifiers 1

IdentifierTypeStateIssuer
970635OtherAZAZ AHCCCS

Other names 1

  • Brookdale Union Hills 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
03D2129349Brookdale Union Hills9296 W Union Hills Dr, Peoria, AZ 85382Certificate of waiverApr 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Brea Charlotte LLC25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1982931002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9296 W UNION HILLS DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828215",
            "telephone_number": "623-362-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9296 W UNION HILLS DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828158",
            "telephone_number": "623-362-2700",
            "fax_number": "623-362-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREA PEORIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "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": "AZ",
            "license": "AL6220C",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "AZ",
            "license": "AL6220C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ AHCCCS",
            "identifier": "970635",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Union Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.