Emericare Heritage LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EMERICARE HERITAGE LLC

Practice address

Route 4
17
Bridgeport, WV 26330-9804

Phone

(304) 842-4135

Fax

(304) 842-4398

NPI assigned

Jul 27, 2010

Organization subpart

Yes

Parent organization

BROOKDALE SENIOR LIVING, INC.As reported in NPPES

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

Authorized official

Name

Mark Ohlendorf

Title

President

Phone

(414) 918-5000

Specialties & licenses 1

Addresses

Other names 1

• The Heritage Doing business as

Part of

Brookdale Senior Living Inc

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1982918470",
    "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",
            "telephone_number": "414-918-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 4",
            "address_2": "17",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309804",
            "telephone_number": "304-842-4135",
            "fax_number": "304-842-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERICARE HERITAGE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING, INC.",
        "enumeration_date": "2010-07-27",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "OHLENDORF",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-918-5000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Heritage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tina Edgell, M.S.W.
• Haely N Edwards, FNP-BC
• Badiaa El-Imad, M.D.
• Bethany Elliot, BS
• Joseph Ellis, FNP-BC
• Graham T Endler, DO
• Mackenzie Englert, SLP
• Enliven Chiropractic PLLC
• John Blake Epling, M.D.
• Beth Ann Esposito, O.D.

• Skilled Nursing Facility in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Skilled Nursing Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.