OrganizationActive
Assisted Living Concepts Inc
NPI 1629265913 · Assisted Living Facility · Brookings, OR
Provider details
- NPI number
- 1629265913
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Walter Levonowich, Vice President Controller(262) 257-8888
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
755 Elk Drive
Brookings, OR 97415
Phone: (541) 469-7182
Fax: (541) 469-5277
Street-level locationGet directions
Mailing address
W140 N8981 Lilly Road
Menomonee Falls, WI 83051-2325
Other names (DBA / former)
- Doing business as
- Macklyn House
Registry dates
- Enumerated
- 2007-10-01
- Last updated
- 2007-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.