NPIMap

Organization Active NPI

Summerville at Roseville Gardens, LLC

Doing business as Emeritus at Roseville Gardens

  • Alzheimer Center (Dementia Center)
  • Roseville, CA
National Provider Identifier
1194053462
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
315001843 Issued in CA
Legal business name
SUMMERVILLE AT ROSEVILLE GARDENS, LLC
Doing business as
Emeritus at Roseville Gardens
Practice address
1 Somer Ridge Dr
Roseville, CA 95661-5252
Phone
(916) 773-5955
NPI assigned
Nov 25, 2009
Last updated
Nov 25, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMERVILLE SENIOR LIVING, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 315001843 CA Primary

Addresses

Primary practice location

1 Somer Ridge Dr
Roseville, CA 95661-5252

Mailing address

3131 Elliott Ave Ste 500
Seattle, WA 98121-1032

Other names 1

  • Emeritus at Roseville Gardens Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Summerville at Chestnut Hill LLC12 organizations share this tax ID, including this one
Part of
Summerville at Chestnut Hill LLC

Other organizations with this tax ID 11

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": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1194053462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELLIOTT AVE STE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOMER RIDGE DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615252",
            "telephone_number": "916-773-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERVILLE AT ROSEVILLE GARDENS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMERVILLE SENIOR LIVING, INC.",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "BICKEL",
        "authorized_official_first_name": "NOELLE",
        "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": "CA",
            "license": "315001843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emeritus at Roseville Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.