EMERITUS PROPERTIES NGH LLC NPI 1790908689

NPI Information

  • NPI: 1790908689
  • Provider Name: EMERITUS PROPERTIES NGH, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: BROOKDALE NORTH MESA
  • CLIA Number: 10D0994500
  • Address: 2122 EAST BROWN ROAD
    MASA, AZ
    ZIP 85213
  • Phone: (206) 298-2909

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NPI Details

EMERITUS PROPERTIES NGH, LLC is an assisted living facility in Masa, AZ. 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 PROPERTIES NGH, LLC NPI is 1790908689. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale North Mesa.

The provider's business location address is:

2122 EAST BROWN ROAD
MASA, AZ
ZIP 85213-200
Phone: (206) 298-2909
Fax: (206) 301-4500

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 10D0994500 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 7/18/2023.

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 FacilityALC4036ARIZONANo
2310400000XAssisted Living FacilityALC-4036ARIZONAYes

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
1700122MEDICAIDARIZONA

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: 3/30/2025

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