EMERITUS CORPORATION NPI 1396051116

NPI Information

NPI: 1396051116
Provider Name: EMERITUS CORPORATION

Doing Business As: BROOKDALE MARYSVILLE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1565 LONDON AVENUE
MARYSVILLE, OH
ZIP 43040
Phone: (937) 738-7342
Get Directions

EMERITUS CORPORATION is an assisted living facility in Marysville, OH. 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 1396051116. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Marysville.

The provider's business location address is:

1565 LONDON AVENUE
MARYSVILLE, OH
ZIP 43040
Phone: (937) 738-7342
Fax: (937) 738-7443

The provider's authorized official is Joanne K Leskowicz .
The authorized official title is Senior Vice President and has the following contact phone number (414) 918-5000.

The enumeration date for this NPI number is 8/31/2010 and was last updated on 7/20/2020.

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
1	310400000X	Assisted Living Facility		RCF-2569R	OHIO	No
2	310400000X	Assisted Living Facility		2569R	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0095547	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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