Emeritus Corporation

Key facts

NPI

1720249394

Entity type

Organization (NPI type 2)

Primary specialty

Assisted Living Facility 310400000X

License

5100349 (IL)

Legal business name

EMERITUS CORPORATION

Practice address

1706 E Amber LN
Urbana, IL 61802-6907

Phone

(217) 328-3150

Fax

(217) 328-3152

NPI assigned

Jun 17, 2008

Organization subpart

No

Authorized official

Name

Anna F.C. Munoz

Title

Assistant Secretary

Phone

(414) 918-5443

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

• Emeritus Corporation Assisted Living Facility · Joliet, IL · NPI 1003083213
  NPD tax ID
• Emeritus Corporation Assisted Living Facility · Orland Park, IL · NPI 1184313116
  NPD tax ID
• Emeritus Corporation Alzheimer Center (Dementia Center) · Joliet, IL · NPI 1821324120
  NPD tax ID
• Emeritus Corportation Assisted Living Facility · Rockford, IL · NPI 1205093150
  NPD tax ID

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

National Provider Directory

Tax ID family

Emeritus Properties NGH LLC (236 organizations share this tax ID)

Specialties & licenses

Addresses

Other names

• Brookdale Urbana Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 13, 2025.

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1720249394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 E AMBER LN",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618026907",
            "telephone_number": "217-328-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 E AMBER LN",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618026907",
            "telephone_number": "217-328-3150",
            "fax_number": "217-328-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERITUS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "F.C.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "414-918-5443"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "5100349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Urbana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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