EMERITUS CORPORATION; NPI #1013064773

Contact Information

EMERITUS CORPORATION

1340 NORTH WASHINGTON BOULEVARD
OGDEN, UT 84404

Phone: 801-737-1230
Fax: 801-737-1238
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Assisted Living Facility	310400000X

Indicates primary specialty

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NPI Profile & details for EMERITUS CORPORATION

NPI Number 1013064773

LBN Legal business name EMERITUS CORPORATION

Authorized official BRYAN RICHARDSON - (EVP, CHIEF ADMIN. OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/04/2007

Last updated 06/13/2016 - About 10 years ago

Identifiers

UT	License #	2005-ALII-63511
UT	License #	2013-ALII-63511
UT	Medicaid	911712691001

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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