EMERITUS CORPORATION NPI 1255593810

NPI Information

  • NPI: 1255593810
  • Provider Name: EMERITUS CORPORATION
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: EMERITUS AT FULTON VILLA
  • Address: 517 E FULTON ST
    STOCKTON, CA
    ZIP 95204
  • Phone: (209) 466-2116

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NPI Details

EMERITUS CORPORATION is an assisted living facility in Stockton, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. EMERITUS CORPORATION NPI is 1255593810. The provider is registered as an organization entity type.
The provider Is Doing Business As Emeritus At Fulton Villa.

The provider's business location address is:

517 E FULTON ST
STOCKTON, CA
ZIP 95204-251
Phone: (209) 466-2116

The provider's authorized official is Noelle Bickel .
The authorized official title is Licensing Specialist and has the following contact phone number (209) 298-2909.

The enumeration date for this NPI number is 6/25/2008 and was last updated on 11/24/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility397000370CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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