Emeritus Properties V, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5501 Issued in FL

Legal business name

EMERITUS PROPERTIES V, INC.

Doing business as

Brookdale Englewood

Practice address

925 S River Rd
Englewood, FL 34223-3909

Phone

(941) 474-8600

Fax

(941) 474-2285

NPI assigned

May 2, 2007

Last updated

May 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryan Richardson

Title

Evp, Chief Admin. Officer

Phone

(615) 564-8131

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Brookdale Englewood Doing business as

Tax ID family

Brookdale Englewood2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Emeritus Properties V, Inc.

  dba Emeritus at Altamonte Springs

  • Assisted Living Facility
  • Altamonte Springs, FL
  • NPI 1326239146
  NPD tax ID

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1245452226",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 S RIVER RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342233909",
            "telephone_number": "941-474-8600",
            "fax_number": "941-474-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERITUS PROPERTIES V, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "EVP, CHIEF ADMIN. OFFICER",
        "authorized_official_telephone_number": "615-564-8131"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5501",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "FL",
            "license": "AL5501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111336-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Englewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ekiong C. Tan M.D., P.a.
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• Elizabeth Cupo
• Ellington Eyecare PLLC
• Charles E Ellis
• Englewood Adult Care Home, Inc. (Inglenook)
• Englewood Community Hospital, Inc. (HCA Florida Englewood Hospital)
• Englewood Community Hospital, Inc. (HCA Florida Englewood Hospital)
• Englewood Emergency Physicians PA
• Englewood Family Health Care Center Inc

• Assisted Living Facility in Englewood, FL
• Providers in Englewood, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.