Emeritus Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EMERITUS CORPORATION

Doing business as

Brookdale Moses Lake

Practice address

8425 Aspi Blvd
Moses Lake, WA 98837-3615

Phone

(509) 762-9115

Fax

(509) 762-9146

NPI assigned

Jul 27, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bryan Richardson

Title

Evp, Chief Admin. Officer

Phone

(615) 564-8131

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brookdale Moses Lake Doing business as

Tax ID family

Brookdale Montclair Poulsbo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Emeritus Corporation

  dba Brookdale Montclair Poulsbo

  • Assisted Living Facility
  • Poulsbo, WA
  • NPI 1831403377
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1053625491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST",
            "address_2": "SUITE 2300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532145647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8425 ASPI BLVD",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988373615",
            "telephone_number": "509-762-9115",
            "fax_number": "509-762-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERITUS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "EVP, CHIEF ADMIN. OFFICER",
        "authorized_official_telephone_number": "615-564-8131"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "720403",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Moses Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elite Chiropractic
• Matthew Kai Elliott, D.O.
• Michelle Elzinga, PTA
• Embrace Women's Health and Midwifery Care LLC (Embrace whmc)
• Emeritol Hearthstone Inn LLC (Brookdale Hearthstone Moses Lake)
• Emeritus Corporation (Brookdale Hearthstone Moses Lake)
• Corey Craig Engstrom, PHARMD
• Reina Escamilla Acosta, MSW
• Katheryne Pauline Espinoza, MSW, LMHC
• Martha Angelica Esquivel

• Assisted Living Facility in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.