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NPI Code Detail

MEDICARE: EMERICARE, INC.

MEDICARE: EMERICARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility129746TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
167-5542OTHERMEDICARE PTAN

General Provider Information

NPI Number : 1851615397
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERICARE, INC.
Provider Business Mailing Address
First Line : 6737 W WASHINGTON ST
Second Line : SUITE 2300
City : MILWAUKEE
State : WI
Zip : 53214-5647
Country : US
Telephone Number : 414-918-5332
Fax Number :
Provider Business Practice Location Address
First Line : 855 E BASSE RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-1890
Country : US
Telephone Number : 210-930-1040
Fax Number : 210-930-1844
Authorized Official
Title or Position : EXECUTIVE VICE PRESIDENT
Name : MR. BRYAN RICHARDSON
Credential :
Telephone Number : 615-221-2250
Provider Enumeration Date : 03/25/2010
Last Update Date : 05/09/2017

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