NPIMap

Organization Active NPI

Emeritus Corporation

Doing business as Emeritus at Fulton Villa

  • Assisted Living Facility
  • Stockton, CA
National Provider Identifier
1255593810
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
397000370 Issued in CA
Legal business name
EMERITUS CORPORATION
Doing business as
Emeritus at Fulton Villa
Practice address
517 E Fulton St
Stockton, CA 95204-2251
Phone
(209) 466-2116
NPI assigned
Jun 25, 2008
Last updated
Nov 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 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
(209) 298-2909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 397000370 CA Primary

Addresses

Primary practice location

517 E Fulton St
Stockton, CA 95204-2251

Mailing address

3131 Elliott Ave Ste 500
Seattle, WA 98121-1032
Phone (206) 298-2909

Other names 1

  • Emeritus at Fulton Villa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emeritus Properties-NGH LLC236 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1255593810",
    "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",
            "telephone_number": "206-298-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 E FULTON ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952042251",
            "telephone_number": "209-466-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERITUS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "BICKEL",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_title_or_position": "LICENSING SPECIALIST",
        "authorized_official_telephone_number": "209-298-2909"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "397000370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emeritus at Fulton Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.