Emerald Isle Assisted Living, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

198202539 Issued in CA

Legal business name

EMERALD ISLE ASSISTED LIVING, INC.

Practice address

27781 Hawthorne Blvd
Rancho Palos Verdes, CA 90275-3401

Phone

(310) 351-7075

Fax

(310) 373-5338

NPI assigned

Dec 6, 2010

Organization subpart

No

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

Authorized official

Name

Laura Dawn Martz

Title

President

Phone

(310) 378-2270

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1336442870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 PALOS VERDES BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902776515",
            "telephone_number": "310-378-2270",
            "fax_number": "310-373-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27781 HAWTHORNE BLVD",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902753401",
            "telephone_number": "310-351-7075",
            "fax_number": "310-373-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD ISLE ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "MARTZ",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-378-2270"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "198202539",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "198201753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.