Organization Active NPI

Emericare Inc

  • Skilled Nursing Facility
  • Kerrville, TX
National Provider Identifier
1073828810
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EMERICARE INC
Doing business as
Plaza on the River Nursing and Rehabilitation Center
Practice address
808 Guadalupe St
Kerrville, TX 78028-5099
Phone
(830) 895-2636
Fax
(830) 895-3797
NPI assigned
Aug 17, 2010
Organization subpart
Yes
Parent organization
BROOKDALE SENIOR LIVING, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

Name
Mr. Mark Ohlendorf
Title
President
Phone
(414) 918-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X TX Primary

Addresses

Primary practice location

808 Guadalupe St
Kerrville, TX 78028-5099

Mailing address

6737 W Washington St
Suite 2300
Milwaukee, WI 53214-5647
Phone (414) 918-5000

Other identifiers 1

IdentifierTypeStateIssuer
001019242MedicaidTX

Other names 1

  • Plaza on the River Nursing and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emericare Inc2 organizations share this tax ID, including this one
Part of
Brookdale Senior Living Inc

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1073828810",
    "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",
            "telephone_number": "414-918-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 GUADALUPE ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285099",
            "telephone_number": "830-895-2636",
            "fax_number": "830-895-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERICARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING, INC.",
        "enumeration_date": "2010-08-17",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "OHLENDORF",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-918-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001019242",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza on the River Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.