Brea Peoria, LLC
Assisted Living Facility in Peoria, AZ. Organization (NPI-2).
NPI number1982931002
StatusActive
Last updated in NPPESJul 18, 2023
Details
- NPI
- 1982931002
- Entity type
- Organization (NPI-2)
- Legal business name
- Brea Peoria, LLC
- Organization subpart
- No
- Enumeration date
- Nov 10, 2009
- Certification date
- Jul 18, 2023
- Last updated
- Jul 18, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | AL6220C | AZ | Yes |
| 311500000X | Alzheimer Center (Dementia Center) | AL6220C | AZ |
Other names
- Brookdale Union Hills (Doing Business As)
Practice location
9296 W Union Hills DrPeoria, AZ 85382-8158
Phone 623-362-2700 · Fax 623-362-2990
Mailing address
9296 W Union Hills DrPeoria, AZ 85382-8215
Phone 623-362-2700
Authorized official
Joanne K Leskowicz
Senior Vice President
4149185000
Is something wrong?
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