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EMERITUS CORPORATION NPI 1407075013


NPI Information

NPI: 1407075013
Provider Name: EMERITUS CORPORATION

Doing Business As: BROOKDALE BRADENTON GARDENS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D0916457

Address:
5612 26TH ST W
BRADENTON, FL
ZIP 34207
Phone: (941) 756-5571
Get Directions

EMERITUS CORPORATION is an assisted living facility in Bradenton, FL. 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 1407075013. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Bradenton Gardens.

The provider's business location address is:

5612 26TH ST W
BRADENTON, FL
ZIP 34207-515
Phone: (941) 756-5571
Fax: (941) 751-6834

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 CLIA number assigned to this NPI record is 10D0916457 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311500000XAlzheimer Center (Dementia Center)ALF6528FLORIDANo
2310400000XAssisted Living FacilityAL6528FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16852319-01MEDICAIDFLORIDA

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: 11/15/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.