BROOKDALE SENIOR LIVING COMMUNITIES, INC. (NPI# 1083959902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083959902 |
| Entity Type | Organization |
| Organization Name | BROOKDALE SENIOR LIVING COMMUNITIES, INC. |
| Other Organization Name | WYNWOOD AT RIVER PLACE |
| Practice Address |
739 E Parkcenter Blvd Boise ID 83706-6511 |
| Mailing Address |
6737 W Washington St Suite 2300 Milwaukee WI 53214-5647 |
| Practice Telephone | 2083385600 |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |
| Authorized Official Name | MARK OHLENDORF (CO-PRESIDENT) |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | A000919 | 05 |
| Other Name | Type Code |
|---|---|
| Wynwood at River Place | 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 |
739 E PARKCENTER BLVD |
| City | BOISE |
| State | ID |
| Zip Code | 83706-6511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| 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 |
|---|---|---|---|---|
| 1619593068 | Frontier Management, LLC | Assisted Living Facility | 10250 W Smoke Ranch Dr, Boise, ID 83709-1467 | 2020-06-22 |
| 1164046413 | Grace Memory Care At State Street LLC | Assisted Living Facility | 9779 W State St, Boise, ID 83714-1638 | 2020-06-02 |
| 1356965693 | Grace At State Street LLC | Assisted Living Facility | 9995 W State St, Boise, ID 83714-1636 | 2020-06-02 |
| 1447874797 | Grace At Englefield Green LLC | Assisted Living Facility | 250 S Allumbaugh Way, Boise, ID 83709-5624 | 2020-06-02 |
| 1942848502 | The Spaulding Home LLC | Assisted Living Facility | 1709 W Spaulding St, Boise, ID 83705-4223 | 2019-12-13 |
| 1023671435 | Edgewood Castle Hills LLC | Assisted Living Facility | 5955 W Castle Dr, Boise, ID 83703-3215 | 2019-04-22 |
| 1477016012 | Veranda At Barber Station LLC | Assisted Living Facility | 3266 E. Barber Valley Drive, Boise, ID 83712 | 2019-04-10 |
| 1114383577 | Edgewood Spring Creek Eagle Island LLC | Assisted Living Facility | 12426 W Explorer Dr Ste 220, Boise, ID 83713-1560 | 2016-01-14 |
| 1568843605 | Treasure Valley Senior Living, Inc. | Assisted Living Facility | 1777 S Curtis Rd, Boise, ID 83705-2708 | 2015-06-15 |
| 1821366998 | Bronco Senior Services | Assisted Living Facility | 1093 S Hilton St, Boise, ID 83705-1971 | 2011-12-05 |
| Find all providers in BOISE | ||||
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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.