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EMERITUSCORPORATION NPI 1780803221


NPI Information

NPI: 1780803221
Provider Name: EMERITUSCORPORATION

Doing Business As: AUTUMNRIDGE

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

CLIA Number: 26D0889301

Address:
300 AUTUMN RIDGE DR
HERCULANEUM, MO
ZIP 63048
Phone: (636) 931-8400
Get Directions

EMERITUSCORPORATION is an assisted living facility in Herculaneum, MO. 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. EMERITUSCORPORATION NPI is 1780803221. The provider is registered as an organization entity type.
The provider Is Doing Business As Autumnridge.

The provider's business location address is:

300 AUTUMN RIDGE DR
HERCULANEUM, MO
ZIP 63048-506
Phone: (636) 931-8400
Fax: (636) 933-3975

The provider's authorized official is Chris Belford .
The authorized official title is Vpo and has the following contact phone number (214) 823-5854.

The CLIA number assigned to this NPI record is 26D0889301 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 8/22/2020.


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 Facility032614MISSOURIYes

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

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