Emericare Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

010000430 Issued in CA

Legal business name

EMERICARE INC

Doing business as

Brookdale Fountaingrove

Practice address

300 Fountaingrove Pkwy
Santa Rosa, CA 95403-5720

Phone

(707) 566-8600

Fax

(707) 566-7936

NPI assigned

Sep 20, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark W Ohlendorf

Title

President

Phone

(414) 918-5000

Specialties & licenses 1

Addresses

Other names 1

• Brookdale Fountaingrove Doing business as

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1740598036",
    "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",
            "telephone_number": "414-918-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FOUNTAINGROVE PKWY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954035720",
            "telephone_number": "707-566-8600",
            "fax_number": "707-566-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERICARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "OHLENDORF",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-918-5000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "010000430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Fountaingrove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Ann Elward, D.D.S.
• Elyse R. Eisenberg MD, Inc.
• Elyse R. Eisenberg, MD, Inc.
• Lela M Emad, M.D.
• Hila Emanuel-Cohen, LMFT
• Joshua James Emerick
• Shera Emis
• Jordan Sidney Emison
• Sara Emmanuel
• Emily Kathleen Emmerson, LMFT

• Skilled Nursing Facility in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.