NPIMap

Organization Active NPI

Emeritus Properties NGH, LLC

Doing business as Village Oaks at Fort Wayne

  • Assisted Living Facility
  • Fort Wayne, IN
National Provider Identifier
1285961722
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
088-003273-1 Issued in IN
Legal business name
EMERITUS PROPERTIES NGH, LLC
Doing business as
Village Oaks at Fort Wayne
Practice address
4730 E State Blvd
Fort Wayne, IN 46815-6975
Phone
(260) 484-0308
Fax
(260) 471-6665
NPI assigned
Nov 4, 2009
Last updated
Nov 4, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
EMERITUS CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Noelle Diaz Bickel
Title
Licensing Specialist
Phone
(206) 298-2909

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 088-003273-1 IN Primary
Alzheimer Center (Dementia Center) 311500000X 08-003273-1 IN

Addresses

Primary practice location

4730 E State Blvd
Fort Wayne, IN 46815-6975

Mailing address

3131 Elliott Ave
Suite 500
Seattle, WA 98121-1044
Phone (206) 298-2909

Other names 1

  • Village Oaks at Fort Wayne Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emeritus Properties Ixllc236 organizations share this tax ID, including this one
Part of
Emeritus Properties Ixllc

Organizations with this tax ID in the same state 4

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": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1285961722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELLIOTT AVE",
            "address_2": "SUITE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211044",
            "telephone_number": "206-298-2909",
            "fax_number": "206-301-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 E STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468156975",
            "telephone_number": "260-484-0308",
            "fax_number": "260-471-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERITUS PROPERTIES NGH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMERITUS CORPORATION",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "BICKEL",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_middle_name": "DIAZ",
        "authorized_official_title_or_position": "LICENSING SPECIALIST",
        "authorized_official_telephone_number": "206-298-2909"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IN",
            "license": "088-003273-1",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "IN",
            "license": "08-003273-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Oaks at Fort Wayne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.