Active NPI
Emeritus Properties NGH, LLC
- Assisted Living Facility
- Fort Wayne, IN
National Provider Identifier
1285961722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 088-003273-1
- Legal business name
- EMERITUS PROPERTIES NGH, LLC
- Practice address
- 4730 E State Blvd
Fort Wayne, IN 46815-6975 - Phone
- (260) 484-0308
- Fax
- (260) 471-6665
- NPI assigned
- Nov 4, 2009
- Organization subpart
- Yes
- Parent organization
- EMERITUS CORPORATION
Authorized official
NPPES NPI Registry- Name
- Noelle Diaz Bickel
- Title
- Licensing Specialist
- Phone
- (206) 298-2909
National Provider Directory
National Provider Directory- Tax ID family
- Emeritus Properties NGH LLC
- Part of
- Emeritus Properties NGH LLC
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.
-
- Assisted Living Facility
- Granger, IN
- NPI 1336475300
-
- Assisted Living Facility
- Granger, IN
- NPI 1407547623
-
- Assisted Living Facility
- Indianapolis, IN
- NPI 1144341629
-
- Alzheimer Center (Dementia Center)
- Indianapolis, IN
- NPI 1225166770
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 088-003273-1 | IN | Primary |
| Alzheimer Center (Dementia Center) | 311500000X | 08-003273-1 | IN |
Addresses
NPPES NPI RegistryPrimary 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
NPPES NPI Registry- Village Oaks at Fort Wayne
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 4, 2009.
{
"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.