EMERITUS PROPERTIES NGH, LLC (NPI# 1790908689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790908689 |
Entity Type | Organization |
Organization Name | EMERITUS PROPERTIES NGH, LLC |
Other Organization Name | BROOKDALE NORTH MESA |
Practice Address |
2122 East Brown Road Masa AZ 85213-5200 |
Mailing Address |
6737 W Washington St Suite 2300 Milwaukee WI 53214-5647 |
Practice Telephone | 2062982909 |
Practice Fax Number | 2063014500 |
Enumeration Date | 2007-04-10 |
Last Update Date | 2016-05-12 |
Authorized Official Name | BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER) |
Authorized Official Telephone | 6155648131 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 310400000X | Assisted Living Facility | ALC4036 | AZ | Nursing & Custodial Care Facilities |
Y | 310400000X | Assisted Living Facility | ALC-4036 | AZ | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 700122 | 05 |
Other Name | Type Code |
---|---|
Brookdale North Mesa | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285961722 | Emeritus Properties Ngh, LLC | Alzheimer Center (Dementia Center) | 4730 E State Blvd, Fort Wayne, IN 46815-6975 | 2009-11-04 |
1437396983 | Emeritus Properties Ngh, LLC | Alzheimer Center (Dementia Center) | 9309 S Orange Blossom Trl, Orlando, FL 32837-8300 | 2009-01-20 |
1770785529 | Emeritus Properties Ngh, LLC | Assisted Living Facility | 1016 Willa Springs, Winter Springs, FL 32708 | 2007-06-04 |
1326260829 | Emeritus Properties Ngh, LLC | Assisted Living Facility | 1919 West Carla Vista Drive, Chandler, AZ 85224 | 2007-05-03 |
1447471834 | Emeritus Properties Ngh, LLC | Assisted Living Facility | 3025 East Russell Road, Las Vegas, NV 89120 | 2007-05-01 |
1144341629 | Emeritus Properties Ngh, LLC | Alzheimer Center (Dementia Center) | 7212 Us 31 S, Indianapolis, IN 46227-8549 | 2007-04-03 |
1700901501 | Emeritus Properties Ngh, LLC | Alzheimer Center (Dementia Center) | 5861 W Beverly Ln, Glendale, AZ 85306-1804 | 2007-03-20 |
1992832018 | Emeritus Properties Ngh, LLC | Assisted Living Facility | 1765 West Hibiscus Blvd, Melbourne, FL 32901 | 2007-02-27 |
1427386861 | Emeritus Properties Ngh, LLC | Assisted Living Facility | 5501 E Michigan St, Orlando, FL 32822-2779 | 2009-11-23 |
Street Address |
2122 EAST BROWN ROAD |
City | MASA |
State | AZ |
Zip Code | 85213-5200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861041733 | Belinda Wiens | Counselor | 2135 E University Dr., Suite 116, Mesa, AZ 85213 | 2019-09-04 |
1679099402 | Roxanne Nicole Greene | Physical Therapist | 2642 E Fairfield St, Mesa, AZ 85213 | 2017-08-14 |
1861921405 | Cameron Kastl | Dentist | 820 E University Dr, Mesa, AZ 85213 | 2017-06-07 |
1033667860 | Ricardo Helaman Perez | Dentist | 459 North Val Vista Drive, Mesa, AZ 85213 | 2016-09-21 |
1902221039 | The U-turn Foundation | Psychiatric Residential Treatment Facility | 2941 E Contessa St., Mesa, AZ 85213 | 2014-02-26 |
1720354194 | Roberta Lynn Ray | Registered Nurse | 824 N Gentry St., Mesa, AZ 85213 | 2012-03-29 |
1639483647 | William Lawrence Hull IIi | Dentist | 2855 E Brown Rd Ste 5, Mesa, AZ 85213 | 2010-08-02 |
1619299286 | Arizona Internal Medicine Associates LLC | Internal Medicine | 3435 E. Kael St, Mesa, AZ 85213 | 2010-02-23 |
1568691863 | Kathleen Ann Ruffin | Dental Hygienist | 2855 E. Brown Rd, Suite 15, Mesa, AZ 85213 | 2009-07-08 |
1356584890 | Sw Sports Medicine & Orthopedic Surgery | Orthopaedic Surgery | 2835 E. Brown Rd., Ste. 101, Mesa, AZ 85213 | 2009-04-14 |
Find all providers in zip 85213 |
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 |
---|---|---|---|---|
1235730508 | Gheorghe Patrutescu | Assisted Living Facility | 16134 N 72nd Ln, Peoria, AZ 85382-4937 | 2020-11-03 |
1942800966 | Yibu Liu | Assisted Living Facility | 3569 E Utopia Rd, Phoenix, AZ 85050-3967 | 2020-10-28 |
1386243269 | Harmony House Tucson LLC | Assisted Living Facility | 12651 E Speedway Blvd, Tucson, AZ 85748-2060 | 2020-10-21 |
1710586664 | Sunland Springs Memory Care, LLC | Assisted Living Facility | 2415 S Signal Butte Rd, Mesa, AZ 85209-2107 | 2020-10-21 |
1487253860 | Ronald Jingco Calaguas | Assisted Living Facility | 2432 W Portobello Ave, Mesa, AZ 85202-7871 | 2020-10-18 |
1992303374 | Azi House LLC | Assisted Living Facility | 1200 W Chapala Dr, Tucson, AZ 85704-4521 | 2020-10-16 |
1609474030 | Fisher Family Home LLC | Assisted Living Facility | 2927 W Redfield Rd, Phoenix, AZ 85053-7712 | 2020-10-16 |
1235736687 | Ana's Assisted Living Home, LLC | Assisted Living Facility | 13238 N 35th St, Phoenix, AZ 85032-6110 | 2020-10-07 |
1205433844 | Angelic Care LLC | Assisted Living Facility | 15247 W Wethersfield Rd, Surprise, AZ 85379-9177 | 2020-10-07 |
1689281347 | Gilbert Al Partners, Lp | Assisted Living Facility | 1445 E Willis Rd, Gilbert, AZ 85297-7352 | 2020-09-28 |
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.