MEDICARE: BROOKDALE SENIOR LIVING COMMUNITIES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1760281398
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROOKDALE SENIOR LIVING COMMUNITIES, INC.

Provider Business Mailing Address
First Line	:	3 CLUB HOUSE DR
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32137-3870
Country	:	US
Telephone Number	:	386-447-3333
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 CLUB HOUSE DR
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32137-3870
Country	:	US
Telephone Number	:	386-447-3333
Fax Number	:

Authorized Official
Title or Position	:	ASSISTANT SECRETARY
Name	:	ANNA F.C. MUNOZ
Credential	:
Telephone Number	:	414-918-5443

Provider Enumeration Date	:	03/07/2025
Last Update Date	:	03/07/2025

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