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EMERITUS CORPORATION NPI 1699010975


NPI Information

NPI: 1699010975
Provider Name: EMERITUS CORPORATION

Doing Business As: BROOKDALE RED BLUFF

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
705 LUTHER RD
RED BLUFF, CA
ZIP 96080
Phone: (530) 529-2900
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EMERITUS CORPORATION is an adult care home custodial care facility in Red Bluff, CA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. EMERITUS CORPORATION NPI is 1699010975. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Red Bluff.

The provider's business location address is:

705 LUTHER RD
RED BLUFF, CA
ZIP 96080-265
Phone: (530) 529-2900

The provider's authorized official is Bryan Richardson .
The authorized official title is Evp, Chief Admin. Officer and has the following contact phone number (615) 564-8183.

The enumeration date for this NPI number is 11/28/2012 and was last updated on 5/12/2016.


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
1315D00000XHospice, Inpatient525002546CALIFORNIANo
2311ZA0620XCustodial Care FacilityAdult Care Home525002546CALIFORNIAYes

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
1HF0435OTHERCALIFORNIADEVELOPMENTAL DISABILITY - FAR NORTHERN REGIONAL CENTER

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: 11/14/2023

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