Emericare Countryside Village LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EMERICARE COUNTRYSIDE VILLAGE LLC

Practice address

706 Pelzer Hwy
Easley, SC 29642-2941

Phone

(864) 859-2312

Fax

(864) 859-0167

NPI assigned

Mar 20, 2012

Organization subpart

Yes

Parent organization

BROOKDALE SENIOR LIVING INCAs reported in NPPES

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

Authorized official

Name

Joanne Leskowicz

Title

Senior Vice President

Phone

(414) 918-5000

Specialties & licenses 1

Addresses

Other names 1

• Brookdale Easley Doing business as

Part of

Brookdale Senior Living Inc

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1326313503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WESTWOOD PL STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275057",
            "telephone_number": "615-221-2250",
            "fax_number": "615-221-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 PELZER HWY",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296422941",
            "telephone_number": "864-859-2312",
            "fax_number": "864-859-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERICARE COUNTRYSIDE VILLAGE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
        "enumeration_date": "2012-03-20",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "LESKOWICZ",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "414-918-5000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Easley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debbie Ellis, N.P.
• Kimberly Chew Ellison, APRN, FNP-BC
• Lena Renee Elrod, LPC-A
• Ember ABA and Pediatric Therapy, LLC
• Emerald Transport Services, LLC
• Emericare Countryside Village LLC
• Emericare Inc
• Emeritus Corporation
• Emeritus Corporation
• Linlee Engdahl

• Skilled Nursing Facility in Easley, SC
• Providers in Easley, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.