MEDICARE: EMERITUS CORPORATION

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	343900000X	Non-emergency Medical Transport (VAN)
2	332U00000X	Home Delivered Meals
3	372500000X	Chore Provider
4	333300000X	Emergency Response System Companies
5	311Z00000X	Custodial Care Facility

General Provider Information

NPI Number	:	1912212754
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERITUS CORPORATION

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	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2562 PIERCE ST
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51104-3706
Country	:	US
Telephone Number	:	712-255-1200
Fax Number	:	712-255-6715

Authorized Official
Title or Position	:	DIR GOV AFFIARS & LEGAL OPERATIONS
Name	:	MICHEAL POCHOWSKI
Credential	:
Telephone Number	:	414-918-5446

Provider Enumeration Date	:	08/17/2010
Last Update Date	:	10/01/2014

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Directions to “EMERITUS CORPORATION ” Practice Location

Language	Start Address	Practice Location

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