Healthcare Provider Details

I. General information

NPI: 1356679047
Provider Name (Legal Business Name): EMERITUS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2009
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 BROUWERS DR
LATROBE PA
15650-2500
US

IV. Provider business mailing address

500 BROUWERS DR
LATROBE PA
15650-2500
US

V. Phone/Fax

Practice location:
  • Phone: 724-537-5255
  • Fax: 724-537-5887
Mailing address:
  • Phone: 724-537-5255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number428530
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number428530
License Number StatePA

VIII. Authorized Official

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