Healthcare Provider Details

I. General information

NPI: 1487805206
Provider Name (Legal Business Name): EMERICARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2008
Last Update Date: 07/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31741 RANCHO VIEJO RD
SAN JUAN CAPISTRANO CA
92675-6722
US

IV. Provider business mailing address

3131 ELLIOTT AVE SUITE 500
SEATTLE WA
98121-1044
US

V. Phone/Fax

Practice location:
  • Phone: 949-248-8855
  • Fax: 949-848-8319
Mailing address:
  • Phone: 206-298-2909
  • Fax: 206-204-1596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number060000526
License Number StateCA

VIII. Authorized Official

Name: MELANIE WERDEL
Title or Position: VP, SECRETARY AND TREASURER
Credential:
Phone: 206-438-2885