Active NPI
Emeritus Corporation
- Adult Care Home Facility
- Red Bluff, CA
National Provider Identifier
1699010975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 525002546
- Legal business name
- EMERITUS CORPORATION
- Practice address
- 705 Luther Rd
Red Bluff, CA 96080-4265 - Phone
- (530) 529-2900
- NPI assigned
- Nov 28, 2012
- Organization subpart
- No
NPPES NPI Registry
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) 564-8183
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 525002546 | CA | Primary |
| Inpatient Hospice | 315D00000X | 525002546 | CA |
Addresses
Primary practice location
705 Luther Rd
Red Bluff, CA 96080-4265
Mailing address
6737 W Washington St
Suite 2300
Milwaukee, WI 53214-5647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HF0435 | Other | CA | DEVELOPMENTAL DISABILITY - FAR NORTHERN REGIONAL CENTER |
Other names 1
- Brookdale Red Bluff
National Provider Directory
National Provider Directory- Tax ID family
- Emeritus Properties NGH LLC
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463011200000",
"number": "1699010975",
"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": "705 LUTHER RD",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960804265",
"telephone_number": "530-529-2900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERITUS CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-28",
"last_updated": "2016-05-12",
"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": "615-564-8183"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "CA",
"license": "525002546",
"primary": true
},
{
"code": "315D00000X",
"taxonomy_group": "",
"desc": "Hospice, Inpatient",
"state": "CA",
"license": "525002546",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEVELOPMENTAL DISABILITY - FAR NORTHERN REGIONAL CENTER",
"identifier": "HF0435",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brookdale Red Bluff",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Red Bluff, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.