Emericare Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0050864 Issued in IL

Legal business name

EMERICARE INC

Doing business as

Emeritus at Burr Ridge

Practice address

6801 High Grove Blvd
Burr Ridge, IL 60527-7585

Phone

(630) 920-2900

Fax

(630) 920-2905

NPI assigned

Mar 25, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Melanie Werdel

Title

Treasurer,Secretary, Director

Phone

(206) 298-2909

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emeritus at Burr Ridge Doing business as

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1427372960",
    "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": "981211031",
            "telephone_number": "206-298-2909",
            "fax_number": "206-301-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 HIGH GROVE BLVD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277585",
            "telephone_number": "630-920-2900",
            "fax_number": "630-920-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERICARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "WERDEL",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "TREASURER,SECRETARY, DIRECTOR",
        "authorized_official_telephone_number": "206-298-2909",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0050864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CERTIFICATION",
            "identifier": "14-6094",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emeritus at Burr Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah V Edidin, MD
• Mostafa El-Leboudi, PT, DPT, ATC
• Allison Elber, PHD
• John E Ellis, MD
• Michael H Ellman, MD
• Rachel Elizabeth Epps, MA
• Erich Hirsch DDS LC
• John P Erickson, MD
• Carol S Evenhouse, CDS CHILD DEVELOPMEN
• Evolution Home Health Care, Inc

• Skilled Nursing Facility in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.