Active NPI
Emeritus Corporation
Doing business as Emeritus at Kingsport
- Assisted Living Facility
- Kingsport, TN
National Provider Identifier
1821320268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- ACL0000000094
- Legal business name
- EMERITUS CORPORATION
- Doing business as
- Emeritus at Kingsport
- Practice address
- 2424 N John B Dennis Hwy
Kingsport, TN 37660-5888 - Phone
- (432) 288-8600
- Fax
- (423) 246-4224
- NPI assigned
- Feb 10, 2010
- 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
- Noelle D Bickel
- Title
- Licensing Specialist
- Phone
- (206) 298-2909
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | ACL0000000094 | TN | Primary |
Addresses
Primary practice location
2424 N John B Dennis Hwy
Kingsport, TN 37660-5888
Mailing address
3131 Elliott Ave
Suite 500
Seattle, WA 98121-1044
Phone (206) 298-2909
Other names 1
- Emeritus at Kingsport
National Provider Directory
National Provider Directory- Tax ID family
- Emeritus Properties NGH 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265760000000",
"number": "1821320268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 ELLIOTT AVE",
"address_2": "SUITE 500",
"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": "2424 N JOHN B DENNIS HWY",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376605888",
"telephone_number": "432-288-8600",
"fax_number": "423-246-4224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERITUS CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-10",
"last_updated": "2010-02-10",
"status": "A",
"authorized_official_last_name": "BICKEL",
"authorized_official_first_name": "NOELLE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "LICENSING SPECIALIST",
"authorized_official_telephone_number": "206-298-2909"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TN",
"license": "ACL0000000094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Emeritus at Kingsport",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kingsport, TN
- Stephen Lee Elsey, PA-C
- Lea Ann Elwood-Relyea, MSW
- Eric Douglas Emberton, M.D.
- Emergent Aco, LLC
- Emeritus Corporation (Brookdale Rock Springs)
- Mark W Emery, MD
- Roxana Enache, PA-C
- Encompass Health Rehabilitation Hospital of Kingsport LLC (Encompass Health Rehabilitation Hospital of Kingsport)
- Endoscopy Center of Kingsport (Sullivan Digestive Center)
- Warren Edward English, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.