OrganizationActive
Southern Assisted Living, LLC.
NPI 1659436780 · Assisted Living Facility · Elizabeth City, NC
Provider details
- NPI number
- 1659436780
- 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
Detailed profile(90/100 index)
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
401 Hastings Ln
Elizabeth City, NC 27909-3327
Phone: (252) 333-1171
Fax: (252) 331-0334
Street-level locationGet directions
Mailing address
6737 W Washington St
Milwaukee, WI 53214-5647
Other names (DBA / former)
- Doing business as
- Brookdale Elizabeth City
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2021-04-07
- Certified
- 2021-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.