Active NPI
Emericare, Inc.
- Skilled Nursing Facility
- San Dimas, CA
National Provider Identifier
1730339797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 950000124
- Legal business name
- EMERICARE, INC.
- Practice address
- 1740 S San Dimas Ave
San Dimas, CA 91773-5108 - Phone
- (909) 394-0304
- Fax
- (909) 394-0903
- NPI assigned
- Sep 26, 2008
- Organization subpart
- Yes
- Parent organization
- BROOKDALE SENIOR LIVING INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 950000124 | CA | Primary |
Addresses
Primary practice location
1740 S San Dimas Ave
San Dimas, CA 91773-5108
Mailing address
1740 S San Dimas Ave
San Dimas, CA 91773-5108
Phone (909) 394-0304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950000124 | Other | CA | CALIFORNIA DEPT OF PUBLIC HEALTH |
Other names 1
- Brookdale San Dimas
National Provider Directory
National Provider Directory- Part of
- Brookdale Senior Living Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594339200000",
"number": "1730339797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 S SAN DIMAS AVE",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917735108",
"telephone_number": "909-394-0304",
"fax_number": "909-394-0903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 S SAN DIMAS AVE",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917735108",
"telephone_number": "909-394-0304",
"fax_number": "909-394-0903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERICARE, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
"enumeration_date": "2008-09-26",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"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": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "950000124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA DEPT OF PUBLIC HEALTH",
"identifier": "950000124",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brookdale San Dimas",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Brookdale San Dimas",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Dimas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.