BROOKDALE SENIOR LIVING COMMUNITIES, INC. (NPI# 1992107387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992107387 |
| Entity Type | Organization |
| Organization Name | BROOKDALE SENIOR LIVING COMMUNITIES, INC. |
| Other Organization Name | CLARE BRIDGE OF KENOSHA |
| Practice Address |
10108 74th St Kenosha WI 53142-7514 |
| Mailing Address |
6737 W Washington St Suite 2300 Milwaukee WI 53214-5647 |
| Practice Telephone | 2626496101 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |
| Authorized Official Name | MARK OHLENDORF (CFO) |
| Authorized Official Telephone | 4149185000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Clare Bridge of Kenosha | 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 |
10108 74TH ST |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-7514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043828213 | Lily Simonson | Physical Therapy Assistant | 10108 74th St, Kenosha, WI 53142-7514 | 2020-07-14 |
| 1962850412 | Jordan Olson | Speech-Language Pathologist | 10108 74th St, Kenosha, WI 53142-7514 | 2016-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| 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 |
|---|---|---|---|---|
| 1669874848 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 7377 88th Ave, Kenosha, WI 53142-8206 | 2014-09-19 |
| 1215246848 | Five Star Quality Care-wi, LLC | Assisted Living Facility | 8351 Sheridan Rd, Kenosha, WI 53143-6339 | 2010-09-30 |
| 1376608083 | Eye Care 4 U, S.c. | Assisted Living Facility | 5455 Sheridan Rd, Ll20, Kenosha, WI 53140-3734 | 2006-12-22 |
| 1487202123 | Snh Wis Tenant LLC | Assisted Living Facility | 8351 Sheridan Rd, Kenosha, WI 53143-6339 | 2019-08-27 |
| 1093273427 | American Eagle Pleasant Prairie LLC | Assisted Living Facility | 7377 88th Ave, Kenosha, WI 53142-8206 | 2019-03-05 |
| 1134653843 | Somers Kenosha Senior Living, Inc. | Assisted Living Facility | 3109 12th St, Kenosha, WI 53144-2915 | 2017-04-19 |
| 1790169944 | Kenosha Senior Living, Inc. | Assisted Living Facility | 3109 30th Ave, Kenosha, WI 53144-1673 | 2015-07-17 |
| 1982006383 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 3109 12th St, Kenosha, WI 53144-2915 | 2014-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654534 | Praitie Assisted Living Inc. | Assisted Living Facility | 749 E Oshkosh St, Ripon, WI 54971-1258 | 2020-09-22 |
| 1295340016 | St. Elizabeth Manor, Inc. | Assisted Living Facility | 111 Commercial Dr, Footville, WI 53537 | 2020-09-09 |
| 1730793001 | Zinzendorf Hall, Inc. | Assisted Living Facility | 1047 Hill St, Watertown, WI 53098-3015 | 2020-09-03 |
| 1184236044 | Francine Carter | Assisted Living Facility | 4341 N 19th St, Milwaukee, WI 53209-6831 | 2020-08-20 |
| 1598377905 | Nohc Jackson Senior Living LLC | Assisted Living Facility | N16744 Eagle Drive, Jackson, WI 53037 | 2020-08-18 |
| 1003427766 | Nohc Magnolia Meadows LLC | Assisted Living Facility | 1480 N 7th St, Manitowoc, WI 54220-2012 | 2020-08-14 |
| 1922616580 | Rheuvonia Reed | Assisted Living Facility | 543 E Arbor Cir, Oak Creek, WI 53154-8528 | 2020-07-20 |
| 1912515073 | Baldwin Coh, LLC | Assisted Living Facility | 1880 4th Ave, Baldwin, WI 54002-5134 | 2020-07-15 |
| 1427666593 | Hudson Coh II, LLC | Assisted Living Facility | 805 Heggen St, Hudson, WI 54016-5005 | 2020-07-15 |
| 1366050429 | Hudson Coh, LLC | Assisted Living Facility | 1111 Heggen St, Hudson, WI 54016-9222 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
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| 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.