Healthcare Provider Details

I. General information

NPI: 1356678890
Provider Name (Legal Business Name): EMERITUS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2009
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9251 STONESTREET RD
LOUISVILLE KY
40272-2858
US

IV. Provider business mailing address

9251 STONESTREET RD
LOUISVILLE KY
40272-2858
US

V. Phone/Fax

Practice location:
  • Phone: 502-935-5884
  • Fax: 502-935-5802
Mailing address:
  • Phone: 502-935-5884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number2010605608
License Number StateKY

VIII. Authorized Official

Name: ANNA F.C. MUNOZ
Title or Position: ASSISTANT SECRETARY
Credential:
Phone: 414-918-5443