National Provider Identifier Database

EMERITUS CORPORATION
Assisted Living Facility

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.


Contact Information

EMERITUS CORPORATION
4080 HAWTHORNE ROAD
CHUBBUCK, ID83202
Phone: 208-237-3000
Fax: 208-237-6024
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for EMERITUS CORPORATION

NPI Number 1275675498
Legal business name
LBN
EMERITUS CORPORATION
Authorized official JOANNE LESKOWICZ - (SENIOR VICE PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 02/13/2007
Last updated 07/20/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: RC-772
  • ID Medicaid: 805437700
  • ID Medicaid: M8054377

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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