Provider Demographics
NPI:1083940571
Name:ESC-NGH, L.P.
Entity Type:Organization
Organization Name:ESC-NGH, L.P.
Other - Org Name:BROOKDALE HOLLYWOOD PARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:K
Authorized Official - Last Name:LESKOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-918-5000
Mailing Address - Street 1:6737 W WASHINGTON ST STE 2300
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53214-5650
Mailing Address - Country:US
Mailing Address - Phone:414-918-5000
Mailing Address - Fax:
Practice Address - Street 1:16911 SAN PEDRO
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD PARK
Practice Address - State:TX
Practice Address - Zip Code:78232-2244
Practice Address - Country:US
Practice Address - Phone:210-495-9340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ESC G.P. II, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-10-19
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX030200310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility