Organization Active NPI

Emericare Inc

Doing business as Emeritus at Carmel Valley

  • Skilled Nursing Facility
  • San Diego, CA
National Provider Identifier
1396996112
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
080000634 Issued in CA
Legal business name
EMERICARE INC
Doing business as
Emeritus at Carmel Valley
Practice address
13101 Hartfield Ave
San Diego, CA 92130-1511
Phone
(619) 259-2222
Fax
(619) 259-2211
NPI assigned
Oct 10, 2008
Organization subpart
Yes
Parent organization
EMERICAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Melanie Werdel
Title
VP, Secretary and Treasurer
Phone
(206) 438-2885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 080000634 CA Primary

Addresses

Primary practice location

13101 Hartfield Ave
San Diego, CA 92130-1511

Mailing address

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

Other names 1

  • Emeritus at Carmel Valley Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emerical Inc2 organizations share this tax ID, including this one
Part of
Emericare Countryside Village LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1396996112",
    "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": "206-204-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 HARTFIELD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921301511",
            "telephone_number": "619-259-2222",
            "fax_number": "619-259-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERICARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMERICAL INC",
        "enumeration_date": "2008-10-10",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "WERDEL",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "VP, SECRETARY AND TREASURER",
        "authorized_official_telephone_number": "206-438-2885"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "080000634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emeritus at Carmel Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.