BROOKDALE SENIOR LIVING COMMUNITIES, INC. (NPI# 1710043153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710043153 |
| Entity Type | Organization |
| Organization Name | BROOKDALE SENIOR LIVING COMMUNITIES, INC. |
| Other Organization Name | WYNWOOD OF ROGUE VALLEY |
| Practice Address |
3033 Barnett Rd Medford OR 97504 |
| Mailing Address |
6737 W Washington St Suite 2300 Milwaukee WI 53214-5647 |
| Practice Telephone | 5417767600 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2009-03-09 |
| 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 |
|---|---|---|---|
| OR | 534342 | 05 |
| Other Name | Type Code |
|---|---|
| Wynwood of Rogue Valley | 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 |
3033 BARNETT RD |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| 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 |
|---|---|---|---|---|
| 1316563042 | Medford Assisted Living LLC | Assisted Living Facility | 1018 Royal Ct, Medford, OR 97504-6175 | 2020-06-18 |
| 1801070172 | Medford Hamlet, LLC | Assisted Living Facility | 1529 N Ocean Ave, Medford, NY 11763-3556 | 2007-12-21 |
| 1740279652 | The Estaugh | Assisted Living Facility | 1 Medford Leas, Medford, NJ 08055-2254 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092520 | W2 Powell Valley, LLC | Assisted Living Facility | 4001 Se 182nd Ave, Gresham, OR 97030-5063 | 2020-10-30 |
| 1790384576 | Pacifica Calaroga Terrace LLC | Assisted Living Facility | 1400 Ne 2nd Ave, Portland, OR 97232-1148 | 2020-10-22 |
| 1023629805 | Barbara Mcvay | Assisted Living Facility | 50792 Huntington Rd, La Pine, OR 97739-9041 | 2020-08-13 |
| 1255959821 | Northwest Hc Cambridge Terrace (or) Operator Nt-hci, LLC | Assisted Living Facility | 2800 14th Ave Se, Albany, OR 97322-7079 | 2020-07-10 |
| 1639797103 | Northwest Hc Oak Park Or Operator Nt-hci LLC | Assisted Living Facility | 1400 Ne Rocky Ridge Dr, Roseburg, OR 97470-5673 | 2020-07-10 |
| 1912525486 | Northwest Hc Cascadia Village Or Operator Nt-hci LLC | Assisted Living Facility | 25117 Sw Parkway Ave Ste F, Wilsonville, OR 97070-9697 | 2020-07-10 |
| 1255958120 | Elderberry Square Community, LLC | Assisted Living Facility | 3321 Oak St, Florence, OR 97439-9515 | 2020-06-26 |
| 1881211852 | Chancellor Health Care of California Ix, Inc. | Assisted Living Facility | 14550 Se Vista Ln, Milwaukie, OR 97267-1731 | 2020-06-25 |
| 1558987768 | Greenridge Estates Operating LLC | Assisted Living Facility | 4 Greenridge Dr, Lake Oswego, OR 97035-1400 | 2020-06-23 |
| 1952927121 | Oregon Alf, LLC | Assisted Living Facility | 15900 Se 82nd Dr, Clackamas, OR 97015-9502 | 2020-06-23 |
| 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.