EMERITUS CORPORATION (NPI# 1245360163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245360163 |
| Entity Type | Organization |
| Organization Name | EMERITUS CORPORATION |
| Other Organization Name | EMERITUS AT TEWKSBURY |
| Practice Address |
2580 Main St Tewksbury MA 01876-3155 |
| Mailing Address |
6737 W Washington St Suite 2300 Milwaukee WI 53214-5647 |
| Practice Telephone | 9786570800 |
| Practice Fax Number | 9786578087 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2015-02-18 |
| Authorized Official Name | MARK OHLENDORF (PRESIDENT/CEO) |
| Authorized Official Telephone | 4149185403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 11032739 C | 05 |
| Other Name | Type Code |
|---|---|
| Emeritus at Tewksbury | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689005639 | Emeritus Corporation | Assisted Living Facility | 271 Slocum Rd, Dartmouth, MA 02747-3602 | 2013-12-02 |
| 1770910648 | Emeritus Corporation | Assisted Living Facility | 616 Lilly Rd Ne, Olympia, WA 98506-6926 | 2013-10-08 |
| 1770910630 | Emeritus Corporation | Assisted Living Facility | 11501 15th Ave Ne, Seattle, WA 98125-6320 | 2013-10-08 |
| 1780011643 | Emeritus Corporation | Assisted Living Facility | 3213 45th Street Ct Nw, Gig Harbor, WA 98335-8518 | 2013-10-08 |
| 1841627890 | Emeritus Corporation | Assisted Living Facility | 4415 Columbine Dr, Bellingham, WA 98226-8039 | 2013-10-07 |
| 1699010975 | Emeritus Corporation | Hospice, Inpatient | 705 Luther Rd, Red Bluff, CA 96080-4265 | 2012-11-28 |
| 1396005195 | Emeritus Corporation | Assisted Living Facility | 211 Bradshaw Dr, Prescott, AZ 86303-4405 | 2012-05-25 |
| 1730464181 | Emeritus Corporation | Assisted Living Facility | 1979 Route 70 E, Cherry Hill, NJ 08003-1895 | 2011-10-18 |
| 1588948707 | Emeritus Corporation | Assisted Living Facility | 25 Worthen Rd, Durham, NH 03824-4612 | 2011-10-06 |
| 1861776080 | Emeritus Corporation | Assisted Living Facility | 300 Village Ln, Bennington, VT 05201-9041 | 2011-10-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | EMERITUS CORPORATION | 111 Westwood Place, Suite 400, Brentwood, TN 37027 |
| Colorado Business Entities | EMERITUS CORPORATION | 111 Westwood Place, Suite 400, Brentwood, TN 37027 |
| Washington State Corporations | EMERITUS CORPORATION | 111 Westwood Pl, Suite 400, Brentwood, TN 37027-5057 |
| Oregon Corporations, Companies and Business Names | EMERITUS CORPORATION | 111 Westwood Place, Suite 400, Brentwood, TN 37027 |
| Massachusetts Corporations | EMERITUS CORPORATION | 3131 Elliott Ave., Ste. 500, Seattle, WA 98121 |
| Oklahoma Business Registrations | EMERITUS CORPORATION | 3131 Elliott Ave Ste 500, Seattle, WA 98121 |
| Connecticut Business Registrations | EMERITUS CORPORATION | 3131 Elliott Avenue, Suite 500, Seattle, WA 98121 |
| Vermont Business Registrations | EMERITUS CORPORATION | 3131 Elliott Ave, Ste 500, Seattle, WA 98121 |
| Virginia Business Entities | Emeritus Corporation | 111 Westwood Place, Ste 400, Brentwood, Tennessee 37027 |
| Street Address |
2580 MAIN ST |
| City | TEWKSBURY |
| State | MA |
| Zip Code | 01876-3155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063077188 | Tewksbury Living Group, LLC | Alzheimer Center (Dementia Center) | 2580 Main St, Tewksbury, MA 01876-3155 | 2019-05-03 |
| 1356792493 | Kathleen Carpenter | Occupational Therapist | 2580 Main St, Tewksbury, MA 01876-3155 | 2016-06-30 |
| 1861863177 | Rebecca Gallagher | Physical Therapist | 2580 Main St, Tewksbury, MA 01876-3155 | 2015-10-13 |
| 1043690589 | Jared Wydysh | Physical Therapist | 2580 Main St, Tewksbury, MA 01876-3155 | 2015-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114224672 | Make It Easy Medical Devices | Durable Medical Equipment & Medical Supplies | 410 Woburn Street, Tewksbury, Tewksbury, MA 01876 | 2011-02-18 |
| 1538329883 | Donna M Schneider | Mechanotherapist | 1 Dundee Park, Suites 1 & 2, Andover, MA 01876 | 2008-06-11 |
| 1417139700 | David Anthony Tortorella | Internal Medicine | 170 Main St Units G4-g8, Tewksbury, MA 01876 | 2007-11-29 |
| 1801086434 | Yvonne Marie Canuel | Long Term Care Hospital | 265 East Street, Tewksbury, MA 01876 | 2007-07-30 |
| 1851511661 | Sandra Lee Proulx | Licensed Practical Nurse | 10 Arnold Rd, Tewksbury, MA 01876 | 2007-04-26 |
| 1710004320 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Tewksbury State Hosp Special Bldg - Merrimack Ctr Birtp, 365 East St, Tewksbury, MA 01876 | 2007-03-26 |
| 1316002884 | Robert A Karr | Psychiatry & Neurology | North East Area Office, Tewksbury, MA 01876 | 2006-12-26 |
| 1659448769 | Barbara P Goldsher | Social Worker | 40 Chivas Circle, Tewksbury, MA 01876 | 2006-11-30 |
| 1457423154 | Boutselis Family Dental Care PC | Dentist | 381r Main Street, Tewksbury, MA 01876 | 2006-11-15 |
| 1477623189 | Commonwealth of Massachusetts Office for Pharmacy Services | Pharmacy | 369 East St, Tewksbury, MA 01876 | 2006-11-09 |
| Find all providers in zip 01876 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184284705 | Erlin Manor Assisted Living, Inc. | Assisted Living Facility | 10b Erlin Ter, Tewksbury, MA 01876-2685 | 2019-06-17 |
| 1720496318 | Peregrine Senior Living of Tewksbury, LLC | Assisted Living Facility | 1009 Main St # 2850, Tewksbury, MA 01876-4737 | 2014-07-26 |
| 1053533224 | Tewksbury Assisted Living, LLC | Assisted Living Facility | 2000 Emerald Ct, Tewksbury, MA 01876-5220 | 2007-05-03 |
| 1639615099 | 2000 Emerald Court LLC | Assisted Living Facility | 2000 Emerald Ct, Tewksbury, MA 01876-5220 | 2017-01-10 |
| 1659691582 | Ntal Property, LLC | Assisted Living Facility | 2000 Emerald Ct, Tewksbury, MA 01876-5220 | 2010-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396370649 | Roderick Family LLC | Assisted Living Facility | 46 Lincoln St, Winthrop, MA 02152-2151 | 2020-03-06 |
| 1093355083 | Naafay, LLC | Assisted Living Facility | 265 Bear Hill Rd, North Andover, MA 01845-2115 | 2020-01-08 |
| 1811465974 | Shi-iii Wrentham LLC | Assisted Living Facility | 30 Ledgeview Way, Attn: Executive Director Or Dba, Wrentham, MA 02093 | 2018-11-07 |
| 1023516465 | D'youville Leadership Solutions | Assisted Living Facility | 1085 Varnum Ave, Lowell, MA 01854-1133 | 2018-01-31 |
| 1457868622 | B-x Worcester LLC | Assisted Living Facility | 340 May St, Worcester, MA 01602-1800 | 2018-01-09 |
| 1841707098 | B-x Agawam LLC | Assisted Living Facility | 153 Cardinal Dr, Agawam, MA 01001-2182 | 2018-01-09 |
| 1811404544 | B-xi Operations Holding Company LLC | Assisted Living Facility | Benchmark At Robbins Brook, 10 Devon Drive, Acton, MA 01720 | 2018-01-03 |
| 1558876060 | Belchertown Heights Alf Lp | Assisted Living Facility | 99 Front Street, Belchertown, MA 01007 | 2017-12-06 |
| 1265962658 | Wincare LLC | Assisted Living Facility | 704 Beaver St, Waltham, MA 02452-5648 | 2017-06-18 |
| 1811434491 | Aniket Chakrabarti | Assisted Living Facility | 243 Church St Ste E, Pembroke, MA 02359-1962 | 2017-01-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.