NPIMap

Organization Active NPI

Summerville at Hazel Creek LLC

Doing business as Emeritus at Hazel Creek

  • Assisted Living Facility
  • Orangevale, CA
National Provider Identifier
1841528106
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
347003914 Issued in CA
Legal business name
SUMMERVILLE AT HAZEL CREEK LLC
Doing business as
Emeritus at Hazel Creek
Practice address
6125 Hazel Ave
Orangevale, CA 95662-4558
Phone
(916) 988-7901
NPI assigned
Nov 25, 2009
Last updated
Nov 25, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMERVILLE SENIOR LIVING, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Noelle Bickel
Title
Licensing Specialist
Phone
(206) 298-2909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 347003914 CA Primary

Addresses

Primary practice location

6125 Hazel Ave
Orangevale, CA 95662-4558

Mailing address

3131 Elliott Ave Ste 500
Seattle, WA 98121-1032

Other names 1

  • Emeritus at Hazel Creek Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Summerville at Chestnut Hill LLC12 organizations share this tax ID, including this one
Part of
Summerville at Chestnut Hill LLC

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1841528106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELLIOTT AVE STE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 HAZEL AVE",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956624558",
            "telephone_number": "916-988-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERVILLE AT HAZEL CREEK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMERVILLE SENIOR LIVING, INC.",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "BICKEL",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_title_or_position": "LICENSING SPECIALIST",
        "authorized_official_telephone_number": "206-298-2909"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "347003914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emeritus at Hazel Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orangevale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.