BROOKDALE SENIOR LIVING COMMUNITIES, INC. (NPI# 1811053002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811053002 |
| Entity Type | Organization |
| Organization Name | BROOKDALE SENIOR LIVING COMMUNITIES, INC. |
| Other Organization Name | BROOKDALE TYLER EAST |
| Practice Address |
3505 University Blvd Tyler TX 75701-6618 |
| Mailing Address |
111 Westwood Pl Ste 400 Brentwood TN 37027-5057 |
| Practice Telephone | 9035650800 |
| Practice Fax Number | 9035650802 |
| Mailing Telephone | 6152212250 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | JOANNE K LESKOWICZ (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 4149185000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BROOKDALE SENIOR LIVING INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | F500153370 | 05 |
| Other Name | Type Code |
|---|---|
| Brookdale Tyler East | Doing Business As Name - Organization |
| Sterling House of Tyler | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755396 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 1408 Parkway, Greenwood, SC 29646-4043 | 2020-09-16 |
| 1508472424 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 131 Vickery Dr, Central, SC 29630-8330 | 2020-09-16 |
| 1922614866 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 251 Springtree Dr, Columbia, SC 29223-7989 | 2020-09-16 |
| 1033725973 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 1180 Wilson Hall Rd, Sumter, SC 29150-1738 | 2020-09-16 |
| 1750997771 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 2010 Brushy Creek Rd, Greer, SC 29650-2614 | 2020-09-16 |
| 1669090965 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 2240 Pratt St, Longmont, CO 80501-1497 | 2020-07-13 |
| 1003431115 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 1099 Ne Watt Way, Bend, OR 97701-7314 | 2020-06-15 |
| 1740781780 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 | 2018-02-26 |
| 1265965685 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 6060 E Arbor Ave, Mesa, AZ 85206-6049 | 2017-04-04 |
| 1669905089 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 14001 W Meeker Blvd, Sun City West, AZ 85375-5202 | 2017-04-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | BROOKDALE SENIOR LIVING COMMUNITIES, INC. | 111 Westwood Pl Ste 400, Brentwood, TN 37027 |
| Massachusetts Corporations | BROOKDALE SENIOR LIVING COMMUNITIES, INC. | 111 Westwood Place, Suite 400, Brentwood, TN 37027 |
| Colorado Business Entities | Brookdale Senior Living Communities, Inc. | 111 Westwood Place, Suite 400, Brentwood, TN 37027 |
| New York State Corporations | BROOKDALE SENIOR LIVING COMMUNITIES, INC. | 80 State Street, Albany, New York 12207-2543 |
| Washington State Corporations | BROOKDALE SENIOR LIVING COMMUNITIES, INC. | 111 Westwood Pl Ste 400, Brentwood, TN 37027 |
| Oregon Corporations, Companies and Business Names | BROOKDALE SENIOR LIVING COMMUNITIES, INC. | 111 Westwood Pl, Suite 400, Brentwood, TN 37027 |
| Oklahoma Business Registrations | BROOKDALE SENIOR LIVING COMMUNITIES, INC. | 330 North Wabash Ste 1400, Chicago, IL 60611 |
| Street Address |
3505 UNIVERSITY BLVD |
| City | TYLER |
| State | TX |
| Zip Code | 75701-6618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720537186 | Csl Hamptons 2016, LLC | Assisted Living Facility | 4250 Old Omen Rd, Tyler, TX 75707-2161 | 2016-09-27 |
| 1114292570 | East Texas Alf Reunion Inn LLC | Assisted Living Facility | 1515 Rice Rd, Tyler, TX 75703-3225 | 2012-03-19 |
| 1497020853 | East Texas Alf Waterton Inn LLC | Assisted Living Facility | 2885 Shiloh Rd, Tyler, TX 75703-2936 | 2012-03-19 |
| 1952605727 | Atria Senior Living Group, Inc | Assisted Living Facility | 3500 S Vine Ave, Tyler, TX 75701-8541 | 2011-01-07 |
| 1427352376 | Atria Senior Living Group, Inc. | Assisted Living Facility | 5317 New Copeland Rd, Tyler, TX 75703-3963 | 2011-01-07 |
| 1528242617 | Hsmtx/waterton Inn, LLC | Assisted Living Facility | 2885 Shiloh Road, Tyler, TX 75703 | 2007-12-26 |
| 1326234246 | Tyler I Enterprises, LLC | Assisted Living Facility | 3323 Garden Valley Rd, Tyler, TX 75702-3704 | 2007-09-25 |
| 1417179557 | Garden Estates of Tyler Limited Partnership | Assisted Living Facility | 2055 Grande Blvd, Tyler, TX 75703 | 2007-05-02 |
| 1902026446 | Red Bird Manor LLC | Assisted Living Facility | 956 Fm Rd 757, Tyler, TX 75705 | 2007-04-26 |
| 1992844757 | Creative Community Care | Assisted Living Facility | 1611 E 5th St, Tyler, TX 75701-3432 | 2007-02-06 |
| Find all providers in TYLER | ||||
Please comment or provide details below to improve the information on BROOKDALE SENIOR LIVING COMMUNITIES, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.