NPIMap

Organization Active NPI

Emeritus Corporation

  • Assisted Living Facility
  • Glastonbury, CT
National Provider Identifier
1477867729
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EMERITUS CORPORATION
Practice address
1824 Manchester Rd
Glastonbury, CT 06033-1832
Phone
(860) 647-1695
Fax
(860) 647-8549
NPI assigned
Jul 28, 2010
Organization subpart
Yes
Parent organization
BROOKDALE SENIOR LIVING INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Authorized official

Name
Joanne K Leskowicz
Title
Senior Vice President
Phone
(414) 918-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X CT Primary

Addresses

Primary practice location

1824 Manchester Rd
Glastonbury, CT 06033-1832

Mailing address

1824 Manchester Rd
Glastonbury, CT 06033-1832
Phone (860) 647-1695

Other identifiers 2

IdentifierTypeStateIssuer
155OtherCTCT DEPT OF PUBLIC HEALTH
8024243MedicaidCT

Other names 1

  • Brookdale Buckingham 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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1477867729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 MANCHESTER RD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331832",
            "telephone_number": "860-647-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 MANCHESTER RD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331832",
            "telephone_number": "860-647-1695",
            "fax_number": "860-647-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERITUS CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
        "enumeration_date": "2010-07-28",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "LESKOWICZ",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "K",
        "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": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT DEPT OF PUBLIC HEALTH",
            "identifier": "155",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8024243",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Buckingham",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookdale Buckingham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.