Emeritus Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EMERITUS CORPORATION

Practice address

1250 NE Lincoln Rd
Poulsbo, WA 98370-8558

Phone

(360) 697-2223

Fax

(360) 598-9517

NPI assigned

Jul 26, 2010

Organization subpart

No

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

Authorized official

Name

Bryan Richardson

Title

Evp, Chief Admin. Officer

Phone

(615) 564-8131

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brookdale Montclair Poulsbo Doing business as

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

CLIA laboratory certificates

Tax ID family

Brookdale Montclair Poulsbo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Emeritus Corporation

  • Assisted Living Facility
  • Moses Lake, WA
  • NPI 1053625491
  NPD tax ID

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1831403377",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 NE LINCOLN RD",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708558",
            "telephone_number": "360-697-2223",
            "fax_number": "360-598-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERITUS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "EVP, CHIEF ADMIN. OFFICER",
        "authorized_official_telephone_number": "615-564-8131"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "720419",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Montclair Poulsbo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Egerer
• Ariel R Ehrlich, M.D.
• Elite Kitsap Performance Physical Therapy LLC
• Katie Ellgass, M.D.
• Barbara Ellis-Danford
• Empowersyou Counseling Services
• Katie Lynn Ernst, APRN, DNP
• Hannah Elizabeth Kiel Erwert, ARNP
• Brandon Escobar, OT
• Barbara Evans, LMP

• Assisted Living Facility in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.