NPIMap

Organization Active NPI

Emeritus Corporation

Doing business as Brookdale North Tucson

  • Assisted Living Facility
  • Tucson, AZ
National Provider Identifier
1194056622
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL7866C Issued in AZ
Legal business name
EMERITUS CORPORATION
Doing business as
Brookdale North Tucson
Practice address
2650 W Ina Rd
Tucson, AZ 85741-4210
Phone
(520) 229-0232
Fax
(520) 229-0259
NPI assigned
Jan 22, 2010
Last updated
Jul 16, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
BROOKDALE SENIOR LIVING INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Joanne K Leskowicz
Title
Senior Vice President
Phone
(414) 918-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL7866C AZ Primary

Addresses

Primary practice location

2650 W Ina Rd
Tucson, AZ 85741-4210

Mailing address

2650 W Ina Rd
Tucson, AZ 85741-4210
Phone (520) 229-0232

Other identifiers 1

IdentifierTypeStateIssuer
016944OtherAZAZ AHCCCS

Other names 1

  • Brookdale North Tucson Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brea Emeritus LLC236 organizations share this tax ID, including this one
Part of
Brookdale Senior Living Inc

Organizations with this tax ID in the same state 11

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1194056622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 W INA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857414210",
            "telephone_number": "520-229-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 W INA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857414210",
            "telephone_number": "520-229-0232",
            "fax_number": "520-229-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERITUS CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
        "enumeration_date": "2010-01-22",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "LESKOWICZ",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "414-918-5000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL7866C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ AHCCCS",
            "identifier": "016944",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale North Tucson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookdale North Tucson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.