Emeritus Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EMERITUS CORPORATION

Doing business as

Brookdale Hattiesburg II

Practice address

107 Fox Chase Dr
Hattiesburg, MS 39402-2574

Phone

(601) 271-8480

Fax

(601) 271-2510

NPI assigned

Oct 12, 2009

Organization subpart

No

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

Authorized official

Name

Anna F.C. Munoz

Title

Assistant Secretary

Phone

(414) 918-5443

Specialties & licenses 2

Addresses

Other names 1

• Brookdale Hattiesburg II Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Emeritus Properties NGH LLC236 organizations share this tax ID, including this one

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.

• Emeritus Corporation

  • Assisted Living Facility
  • Biloxi, MS
  • NPI 1285963702
  NPD tax ID
• Emeritus Corporation

  • Assisted Living Facility
  • Ridgeland, MS
  • NPI 1720317241
  NPD tax ID
• Emeritus Corporation

  • Assisted Living Facility
  • Hattiesburg, MS
  • NPI 1730415035
  NPD tax ID
• Emeritus Corporation

  • Assisted Living Facility
  • Meridian, MS
  • NPI 1942535745
  NPD tax ID

Locations

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1407181209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 FOX CHASE DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022574",
            "telephone_number": "601-271-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FOX CHASE DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022574",
            "telephone_number": "601-271-8480",
            "fax_number": "601-271-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERITUS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-12",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "F.C.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "414-918-5443"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MS",
            "license": "899",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Hattiesburg II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monte Dunn Ellis, LPC, CSAT
• Burke Lee Ellzey Jr., DMD
• Holly Elmore
• Haffiz Michael Emamalie, M.D.
• Emeritol Lo Hattiesburg, LLC
• Emeritus Corporation
• Eminent Winkz,LLC
• Empower Home Care Agency,LLC
• Encore Rehabilitation Inc
• Encore Rehabilitation Inc

• Assisted Living Facility in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Assisted Living Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.