Emeritus Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RC770 Issued in ID

Legal business name

EMERITUS CORPORATION

Doing business as

Brookdale Pocatello

Practice address

1501 Baldy Ave
Pocatello, ID 83201-7117

Phone

(208) 237-6866

Fax

(208) 237-3889

NPI assigned

Feb 23, 2007

Last updated

Jul 20, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

BROOKDALE SENIOR LIVING INCAs reported in NPPES

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

Addresses

Other identifiers 1

Other names 1

• Brookdale Pocatello 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-Arkansas 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.

• Emeritus Corporation

  dba Brookdale Chubbuck

  • Assisted Living Facility
  • Chubbuck, ID
  • NPI 1275675498
  NPD tax ID
• Emeritus Corporation

  dba Brookdale Coeur d'Alene

  • Assisted Living Facility
  • Coeur d'Alene, ID
  • NPI 1609088525
  NPD tax ID
• Emeritus Corporation

  dba Brookdale Castle Hill

  • Assisted Living Facility
  • Boise, ID
  • NPI 1952513897
  NPD tax ID

Locations

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1538294871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST",
            "address_2": "SUITE 2300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532145647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BALDY AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832017117",
            "telephone_number": "208-237-6866",
            "fax_number": "208-237-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERITUS CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "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": "ID",
            "license": "RC770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M8054378",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Pocatello",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookdale Pocatello",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Lowen Elliott, MD
• Ryan M. Elliott, BS
• Marina J. Ellis, LCPC
• Lauren Elizabeth Ellsworth
• Brooke Elzey, PA-C
• Gregory Scott Emfield, D.O
• Empower Counseling, Coaching and Consulting, LLC
• Endobiogenic Integrative Medical Center
• Endoscopy Center, LLC
• Joseph Alfred Enfonde, MD

• Assisted Living Facility in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Assisted Living Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.