Healthcare Provider Details

I. General information

NPI: 1912111998
Provider Name (Legal Business Name): EMERITUS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5165 SUMMIT RIDGE CT
RENO NV
89523-9092
US

IV. Provider business mailing address

3131 ELLIOTT AVE SUITE 500
SEATTLE WA
98121-1044
US

V. Phone/Fax

Practice location:
  • Phone: 775-787-8200
  • Fax: 775-787-8227
Mailing address:
  • Phone: 206-298-2909
  • Fax: 206-301-4500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number2117AGZ-21
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number2117AGZ-21
License Number StateNV

VIII. Authorized Official

Name: KACY KANG
Title or Position: VICE PRESIDENT OF OPERATIONS
Credential:
Phone: 206-289-2909