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EMERITUS CORPORATION NPI 1811012347


NPI Information

NPI: 1811012347
Provider Name: EMERITUS CORPORATION

Doing Business As: BROOKDALE LAWNDALE DRIVE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3823 LAWNDALE DR
GREENSBORO, NC
ZIP 27455
Phone: (336) 288-8688
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EMERITUS CORPORATION is an assisted living facility in Greensboro, NC. 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 1811012347. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Lawndale Drive.

The provider's business location address is:

3823 LAWNDALE DR
GREENSBORO, NC
ZIP 27455-605
Phone: (336) 288-8688
Fax: (336) 288-8230

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) 564-8131.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 5/16/2016.


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
1310400000XAssisted Living FacilityHAL-041-049NORTH CAROLINAYes

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
17804788MEDICAIDNORTH CAROLINA

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: 4/28/2024

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