Healthcare Provider Details
I. General information
NPI: 1972899318
Provider Name (Legal Business Name): EMERITUS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/23/2011
Last Update Date: 07/16/2020
Certification Date: 07/16/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 CHENAL HEIGHTS DR
LITTLE ROCK AR
72223-3999
US
IV. Provider business mailing address
1 CHENAL HEIGHTS DR
LITTLE ROCK AR
72223-3999
US
V. Phone/Fax
- Phone: 501-821-1555
- Fax: 501-821-1561
- Phone: 501-821-1555
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 311500000X |
| Taxonomy | Alzheimer Center (Dementia Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOANNE
K
LESKOWICZ
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 414-918-5000