Healthcare Provider Details

I. General information

NPI: 1902133887
Provider Name (Legal Business Name): EMERITUS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2009
Last Update Date: 01/31/2020
Certification Date: 01/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 DEYERLE AVE
HARRISONBURG VA
22801-8025
US

IV. Provider business mailing address

2101 DEYERLE AVE
HARRISONBURG VA
22801-8025
US

V. Phone/Fax

Practice location:
  • Phone: 540-574-2982
  • Fax: 540-571-2985
Mailing address:
  • Phone: 540-574-2982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberVLO-09-107
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License NumberVLO-09-107
License Number StateVA

VIII. Authorized Official

Name: JOANNE LESKOWICZ
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 414-918-5000