NPIMap

Organization Active NPI

Emeritus Corporation

Doing business as Brookdale Vacaville

  • Assisted Living Facility
  • Vacaville, CA
National Provider Identifier
1376871640
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
486803099 Issued in CA
Legal business name
EMERITUS CORPORATION
Doing business as
Brookdale Vacaville
Emeritus at Vacaville
Practice address
1111 Ulatis Dr
Vacaville, CA 95687-9498
Phone
(707) 447-7100
NPI assigned
Nov 25, 2009
Organization subpart
Yes
Parent organization
BROOKDALE SENIOR LIVING INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 486803099 CA Primary

Addresses

Primary practice location

1111 Ulatis Dr
Vacaville, CA 95687-9498

Mailing address

1111 Ulatis Dr
Vacaville, CA 95687-9498

Other names 2

  • Brookdale Vacaville Doing business as
  • Emeritus at Vacaville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emeritus Properties NGH LLC236 organizations share this tax ID, including this one
Part of
Brookdale Senior Living Inc

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1376871640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 ULATIS DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956879498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 ULATIS DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956879498",
            "telephone_number": "707-447-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERITUS CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
        "enumeration_date": "2009-11-25",
        "last_updated": "2018-11-15",
        "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "486803099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Vacaville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Emeritus at Vacaville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.