NPIMap

Organization Active NPI

Esc IV, L.P.

  • Alzheimer Center (Dementia Center)
  • Lubbock, TX
National Provider Identifier
1124236591
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
030161 Issued in TX
Legal business name
ESC IV, L.P.
Practice address
5204 Elgin Ave
Lubbock, TX 79413-4420
Phone
(806) 788-1919
Fax
(806) 785-7088
NPI assigned
May 18, 2007
Organization subpart
Yes
Parent organization
EMERITUS PROPERTIES IV, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Noelle Diaz Bickel
Title
Licensing Specialist
Phone
(206) 298-2909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 030161 TX Primary

Addresses

Primary practice location

5204 Elgin Ave
Lubbock, TX 79413-4420

Mailing address

3131 Elliott Ave
Suite 500
Seattle, WA 98121-1044
Phone (206) 298-2909

Other names 1

  • Emeritus at Quail Ridge Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brookdale Beckett Meadows18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1124236591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELLIOTT AVE",
            "address_2": "SUITE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211044",
            "telephone_number": "206-298-2909",
            "fax_number": "206-301-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 ELGIN AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794134420",
            "telephone_number": "806-788-1919",
            "fax_number": "806-785-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESC IV, L.P.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMERITUS PROPERTIES IV, INC.",
        "enumeration_date": "2007-05-18",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "BICKEL",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_middle_name": "DIAZ",
        "authorized_official_title_or_position": "LICENSING SPECIALIST",
        "authorized_official_telephone_number": "206-298-2909"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "TX",
            "license": "030161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emeritus at Quail Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.