Emeritus Properties Xvi, Inc.
Organization Active NPI Assisted Living Facility · Augusta, KS
NPI 1215152012 · NPPES record last updated Sep 12, 2012
Key facts
- NPI
- 1215152012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- N008008 (KS)
- Legal business name
- EMERITUS PROPERTIES XVI, INC.
- Practice address
- 1611 Fairway Dr
Augusta, KS 67010-2246 - Phone
- (316) 775-1000
- Fax
- (316) 775-6309
- NPI assigned
- Apr 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Tracy Allen
- Title
- Director Medicaid Services
- Phone
- (800) 429-4828
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Brookdale Broadmoor
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | N008008 | KS | Yes |
Addresses
Primary practice location
1611 Fairway Dr
Augusta, KS 67010-2246
Mailing address
3131 Elliott Ave
Suite 500
Seattle, WA 98121-1044
Phone (206) 298-2909
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200297710A | Medicaid | KS |
Other names
- Emeritus at Augusta
Other providers in Augusta, KS
- Lindsay Depperschmidt
- Shellie Dettweiler
- Dillon Companies LLC
- Huyen Dinh
- Shelbi Easter
- Kirsten Engel
- Stephanie Nicole Fellows
- Kacey Fetters
- Stephanie Ganoung
- Julie Ann Gawith
All providers in Augusta, KS · Assisted Living Facility in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.