Brookdale Reynolda Road
LBN: Southern Assisted Living, Llc.
Brookdale Reynolda Road is an health care organization with primary practice located at 2980 Reynolda Rd , Winston Salem NC 27106-3047. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty.
Southern Assisted Living, Llc. can be contacted via phone (336) 722-1617, or through Leskowicz, Joanne K via phone (414) 918-5000.
Contact Information
Primary practice address
2980 Reynolda Rd
Winston Salem NC 27106-3047
Phone: (336) 722-1617
Fax: (336) 722-1660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X |
Profile Details
| NPI number | 1356407217 |
|---|---|
| LBN Legal business name | Southern Assisted Living, Llc. |
| DBA Doing business as | Brookdale Reynolda Road |
| Authorized official | Leskowicz, Joanne K |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Apr 8th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356407217 | NPPES |
| North Carolina | MEDICAID | 7803879 |
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