Emerituscorporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

032614 Issued in MO

Legal business name

EMERITUSCORPORATION

Doing business as

AutumnRidge

Practice address

300 Autumn Ridge Dr
Herculaneum, MO 63048-1506

Phone

(636) 931-8400

Fax

(636) 933-3975

NPI assigned

Apr 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chris Belford

Title

Vpo

Phone

(214) 823-5854

Specialties & licenses 1

Addresses

Other names 1

• AutumnRidge Doing business as

Tax ID family

Emeritus Properties-NGH LLC236 organizations share this tax ID, including this one

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780803221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELLIOTT AVE",
            "address_2": "SUITE500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211044",
            "telephone_number": "206-298-2909",
            "fax_number": "206-301-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AUTUMN RIDGE DR",
            "city": "HERCULANEUM",
            "state": "MO",
            "postal_code": "630481506",
            "telephone_number": "636-931-8400",
            "fax_number": "636-933-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERITUSCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELFORD",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "VPO",
        "authorized_official_telephone_number": "214-823-5854",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "032614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AutumnRidge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Herculaneum, MO
• Providers in Herculaneum, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.