Emeritus Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

21AL026-J Issued in MD

Legal business name

EMERITUS CORPORATION

Doing business as

Brookdale Hagerstown

Practice address

20009 Rosebank Way
Hagerstown, MD 21742

Phone

(301) 733-3353

Fax

(301) 765-4666

NPI assigned

Feb 21, 2007

Last updated

Jun 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryan Richardson

Title

Evp, Chief Admin. Officer

Phone

(615) 564-8131

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Brookdale Hagerstown Doing business as

Tax ID family

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

Organizations with this tax ID in the same state 1

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

• Emeritus Corporation

  dba Emeritus at Pikesville

  • Assisted Living Facility
  • Pikesville, MD
  • NPI 1851629539
  NPD tax ID

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1457496044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST STE 2300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532145650",
            "telephone_number": "414-918-5000",
            "fax_number": "206-301-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20009 ROSEBANK WAY",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21742",
            "telephone_number": "301-733-3353",
            "fax_number": "301-765-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERITUS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "EVP, CHIEF ADMIN. OFFICER",
        "authorized_official_telephone_number": "615-564-8131"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "21AL026",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "21AL026-J",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MD",
            "license": "21AL026",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "935600200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Hagerstown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vicki Ellis, MD
• Kezia Lynnette Ellison, MD
• Nia Imani Elmore
• Anna K. Elwood, PMH NP-BC
• Emeritol Lo Hagerstown (Brookdale Hagerstown)
• Jennifer L Emerling
• Emily K. Smoot LCSW-C LLC
• Judith A Emmert, D.M.D.
• Michele Kathryn Emmett, L.C.P.C./ L.P.C.
• Pear Mohammad Enam, M.D.

• Assisted Living Facility in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.