Active NPI
Emeritus Corporation
Doing business as Brookdale Cordova
- Assisted Living Facility
- Cordova, TN
National Provider Identifier
1710291240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- EMERITUS CORPORATION
- Doing business as
- Brookdale Cordova
- Practice address
- 1535 Appling Care LN
Cordova, TN 38016-4927 - Phone
- (901) 377-7500
- Fax
- (901) 377-1918
- NPI assigned
- Jul 26, 2010
- Last updated
- May 17, 2016
- 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) 564-8131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | TN | Primary |
Addresses
Primary practice location
1535 Appling Care LN
Cordova, TN 38016-4927
Mailing address
6737 W Washington St
Suite 2300
Milwaukee, WI 53214-5647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H445491 | Medicaid | TN |
Other names 1
- Brookdale Cordova
National Provider Directory
National Provider Directory- Tax ID family
- Brea Emeritus LLC
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.
-
dba Brookdale Rock Springs
- Assisted Living Facility
- Kingsport, TN
- NPI 1780483008
-
dba Emeritus at Kingsport
- Assisted Living Facility
- Kingsport, TN
- NPI 1821320268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463443200000",
"number": "1710291240",
"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": "1535 APPLING CARE LN",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380164927",
"telephone_number": "901-377-7500",
"fax_number": "901-377-1918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERITUS CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-26",
"last_updated": "2016-05-17",
"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": "TN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "H445491",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brookdale Cordova",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Cordova, TN
- Noel Elly
- Susan Elswick, EDD, MSSW, LSSW LCSW
- Embracing Wellness LLC (Embracing Wellness)
- Ikechukwu Emereuwaonu, M.D
- Oluwayemisi Emereuwaonu, MD
- Emmanuel Health Services
- Empowerment Counseling and Consulting, LLC
- Encore Surgical Institute LLC
- Endocrine and Diabetes Clinic PLLC
- Engage Psychiatry & Wellness PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.