Provider Demographics
NPI:1710935069
Name:ARC SWEET LIFE ROSEHILL LLC
Entity Type:Organization
Organization Name:ARC SWEET LIFE ROSEHILL LLC
Other - Org Name:BROOKDALE ROSEHILL
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:
Authorized Official - Last Name:LESKOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-918-5000
Mailing Address - Street 1:12802 JOHNSON DR
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66216-1645
Mailing Address - Country:US
Mailing Address - Phone:913-962-7600
Mailing Address - Fax:913-962-7601
Practice Address - Street 1:12802 JOHNSON DR
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66216-1645
Practice Address - Country:US
Practice Address - Phone:913-962-7600
Practice Address - Fax:913-962-7601
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BROOKDALE SENIOR LIVING INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-05
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSPENDING314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSN046063OtherKS DEPT FOR AGING AND DISABILITY SERVICES