Southern Assisted Living, LLC.
NPI 1417013822 · Assisted Living Facility · Statesville, NC
Southern Assisted Living, LLC. is a Assisted Living Facility organization in Statesville, NC (NPI 1417013822).
Provider details
- NPI number
- 1417013822
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- Brookdale Senior Living Inc
- Organization subpart
- Yes
- Authorized official
- Joanne Leskowicz, Senior Vice President(414) 918-5000
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Brookdale Peachtree Al
Registry dates
- Enumerated
- 2006-12-29
- Last updated
- 2021-04-08
- Certified
- 2021-04-08
Frequently asked questions
- What is Southern Assisted Living, LLC.'s NPI number?
- Southern Assisted Living, LLC.'s National Provider Identifier (NPI) is 1417013822, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Assisted Living, LLC.?
- Southern Assisted Living, LLC. is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Southern Assisted Living, LLC. located?
- Southern Assisted Living, LLC.'s practice location on file with NPPES is 2806 Peachtree Rd, Statesville, NC 28625-8204.
- What is Southern Assisted Living, LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Southern Assisted Living, LLC. is (704) 872-1946.
- Who is the authorized official for Southern Assisted Living, LLC.?
- The authorized official listed on Southern Assisted Living, LLC.'s NPPES record is Joanne Leskowicz, Senior Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Assisted Living, LLC.'s NPI active?
- Yes — Southern Assisted Living, LLC.'s NPI (1417013822) is active in the NPPES registry as of the last update on 2021-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.