EMERITUS CORPORATION (NPI# 1275675498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275675498 |
| Entity Type | Organization |
| Organization Name | EMERITUS CORPORATION |
| Other Organization Name | BROOKDALE CHUBBUCK |
| Practice Address |
4080 Hawthorne Road Chubbuck ID 83202 |
| Mailing Address |
6737 W Washington St Ste 2300 Milwaukee WI 53214-5650 |
| Practice Telephone | 2082373000 |
| Practice Fax Number | 2082376024 |
| Mailing Telephone | 4149185000 |
| Mailing Fax Number | 2063577292 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | JOANNE K LESKOWICZ (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 4149185000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BROOKDALE SENIOR LIVING INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | RC-772 | ID | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | M8054377 | 05 | |
| ID | 805437700 | 05 |
| Other Name | Type Code |
|---|---|
| Brookdale Chubbuck | 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 |
| Street Address |
4080 HAWTHORNE ROAD |
| City | CHUBBUCK |
| State | ID |
| Zip Code | 83202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
| 1649712597 | Angie M Mccurdy | Audiologist | 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 | 2016-11-09 |
| 1285180836 | Beverly Grigg Jones | Counselor | 210 W. Burnside, Chubbuck, ID 83202 | 2016-09-01 |
| 1376992503 | Andrea Walsh | Nurse Practitioner | 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 | 2016-06-08 |
| 1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
| 1457713588 | Jennifer Ann Gould | Radiologic Technologist | 907 Ryan Street, Chubbuck, ID 83202 | 2016-03-28 |
| 1154714897 | Phoenix Management LLC | Day Training, Developmentally Disabled Services | 10991 Deerridge Dr., Chubbuck, ID 83202 | 2015-03-05 |
| 1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
| 1336562412 | Kurt Layton | Counselor | 337 Joel, Chubbuck, ID 83202 | 2014-01-27 |
| 1245653468 | Hannah's Place LLC | Occupational Therapist | 240 W Burnside Ave Ste D, Chubbuck, ID 83202 | 2014-01-23 |
| Find all providers in zip 83202 | ||||
| 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 |
|---|---|---|---|---|
| 1407462906 | Etosha Assisted Living, Inc | Assisted Living Facility | 243 N 300 E, Rupert, ID 83350-9491 | 2020-09-20 |
| 1548886963 | Diamond View Care Properties, LLC | Assisted Living Facility | 3570 E Amity Rd, Meridian, ID 83642-7014 | 2020-06-22 |
| 1619593068 | Frontier Management, LLC | Assisted Living Facility | 10250 W Smoke Ranch Dr, Boise, ID 83709-1467 | 2020-06-22 |
| 1174149991 | Rsl Renaissance, LLC | Assisted Living Facility | 2772 W Avante Loop, Coeur D Alene, ID 83815-0333 | 2020-06-17 |
| 1891319141 | Grace At Caldwell LLC | Assisted Living Facility | 518 N 21st Ave, Caldwell, ID 83605-4368 | 2020-06-02 |
| 1790309045 | Grace At Fairview Lakes LLC | Assisted Living Facility | 1960 N Lakes Pl, Meridian, ID 83646-5939 | 2020-06-02 |
| 1164046413 | Grace Memory Care At State Street LLC | Assisted Living Facility | 9779 W State St, Boise, ID 83714-1638 | 2020-06-02 |
| 1356965693 | Grace At State Street LLC | Assisted Living Facility | 9995 W State St, Boise, ID 83714-1636 | 2020-06-02 |
| 1336763689 | Grace LLC | Assisted Living Facility | 1610 Sunnyridge Rd, Nampa, ID 83686-7401 | 2020-06-02 |
| 1447874797 | Grace At Englefield Green LLC | Assisted Living Facility | 250 S Allumbaugh Way, Boise, ID 83709-5624 | 2020-06-02 |
| 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.