Emeral Springs Assit Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALC-P-4327 Issued in AZ

Legal business name

EMERAL SPRINGS ASSIT LIVING LLC

Practice address

1475 S 46TH Ave
Yuma, AZ 85364-4010

Phone

(928) 329-7707

NPI assigned

Feb 16, 2007

Last updated

Aug 22, 2020By 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

Mr. Jon A Harder

Title

Ceo President

Phone

(503) 485-4600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285778860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3006",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973020006",
            "telephone_number": "503-485-4600",
            "fax_number": "503-485-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 S 46TH AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644010",
            "telephone_number": "928-329-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERAL SPRINGS ASSIT LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "503-485-4600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALC-P-4327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johannah Elizabeth Elliott, ATC/LAT
• Steven Ellison, NURSE PRACTITIONER
• Jeanne Notto Elnadry, M.D.
• Mohamed M Elramah, D.O.,
• Kathleen Marie Embree, CNM, MSN
• Emerald Springs of Yuma, LLC (Emerald Springs Senior Living)
• Emg Diagnostic Testing Services LLC
• Emilia Matos M.D. P.C. (Pediatric Associates of Yuma)
• Stephanie Michael Enders, PT
• Endicott Dialysis LLC (Desert Dunes Dialysis)

• Assisted Living Facility in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.