NPIMap

Organization Active NPI

Emeritus Corporation

Doing business as La Villa

  • Assisted Living Facility
  • Irving, TX
National Provider Identifier
1962750687
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EMERITUS CORPORATION
Doing business as
La Villa
Practice address
300 E John Carpenter Fwy
Suite Ll112
Irving, TX 75062-2727
Phone
(972) 893-2616
NPI assigned
Aug 28, 2012
Last updated
Aug 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Tracy Allen
Title
Director Medicaid Services
Phone
(206) 298-2909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NM Primary

Addresses

Primary practice location

300 E John Carpenter Fwy
Suite Ll112
Irving, TX 75062-2727

Mailing address

2725 N Pennsylvania Ave
Roswell, NM 88201-0617
Phone (575) 625-8426

Other names 1

  • La Villa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emeritus Properties-Arkansas LLC236 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 8

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

300 E John Carpenter Fwy
Ste LL112
Irving, TX 75062
Phone (972) 893-2616

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1962750687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 N PENNSYLVANIA AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882010617",
            "telephone_number": "575-625-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E JOHN CARPENTER FWY",
            "address_2": "SUITE LL112",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622727",
            "telephone_number": "972-893-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERITUS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "DIRECTOR MEDICAID SERVICES",
        "authorized_official_telephone_number": "206-298-2909"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.