EMERITUS CORPORATION NPI 1568580199

NPI Information

  • NPI: 1568580199
  • Provider Name: EMERITUS CORPORATION
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: BROOKDALE ECHELON LAKE
  • CLIA Number: 31D2193276
  • Address: 207 LAUREL ROAD
    VOORHEES, NJ
    ZIP 08043
  • Phone: (856) 772-9400

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NPI Details

EMERITUS CORPORATION is an assisted living facility in Voorhees, NJ. 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 1568580199. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Echelon Lake.

The provider's business location address is:

207 LAUREL ROAD
VOORHEES, NJ
ZIP 08043
Phone: (856) 772-9400
Fax: (856) 772-3769

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 31D2193276 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility20A001NEW JERSEYNo
2311500000XAlzheimer Center (Dementia Center)SIPFEPNEW JERSEYNo
3310400000XAssisted Living FacilitySIPFEPNEW JERSEYYes

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
18712409MEDICAIDNEW JERSEY

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: 11/21/2025

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