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NPI Code Detail

MEDICARE: EMERITUS CORPORATION

MEDICARE: EMERITUS CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living FacilityNV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11871807073OTHERNPPES

General Provider Information

NPI Number : 1871807073
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERITUS CORPORATION
Provider Business Mailing Address
First Line : 6737 W WASHINGTON ST
Second Line : SUITE 2300
City : MILWAUKEE
State : WI
Zip : 53214-5647
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6031 CHEYENNE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-4200
Country : US
Telephone Number : 702-658-5882
Fax Number : 702-658-5842
Authorized Official
Title or Position : EVP, CHIEF ADMIN. OFFICER
Name : BRYAN RICHARDSON
Credential :
Telephone Number : 615-564-8131
Provider Enumeration Date : 07/29/2010
Last Update Date : 05/16/2016

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Directions to “EMERITUS CORPORATION ” Practice Location

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