EMERITUS CORPORATION


Address: 3610 Randolph Rd, Charlotte, NC 28211-1318
Phone: 7043662550

EMERITUS CORPORATION (NPI# 1023331832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023331832
Entity Type Organization
Organization Name EMERITUS CORPORATION
Other Organization Name EMERITUS AT EASTOVER
Practice Address 3610 Randolph Rd
Charlotte
NC 28211-1318
Mailing Address 3131 Elliott Ave
Suite 500
Seattle
WA 98121-1044
Practice Telephone 7043662550
Practice Fax Number 7043664041
Mailing Telephone 2062982909
Mailing Fax Number 2063014500
Enumeration Date 2010-03-08
Last Update Date 2010-03-08
Authorized Official Name NOELLE BICKEL (LICENSING SPECIALIST)
Authorized Official Telephone 2062982909
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 311500000X Alzheimer Center (Dementia Center) HAL-060-110 NC Nursing & Custodial Care Facilities
Y 310400000X Assisted Living Facility HAL-060-110 NC Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Emeritus at Eastover Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1689005639 Emeritus Corporation Assisted Living Facility 271 Slocum Rd, Dartmouth, MA 02747-3602 2013-12-02
1770910648 Emeritus Corporation Assisted Living Facility 616 Lilly Rd Ne, Olympia, WA 98506-6926 2013-10-08
1770910630 Emeritus Corporation Assisted Living Facility 11501 15th Ave Ne, Seattle, WA 98125-6320 2013-10-08
1780011643 Emeritus Corporation Assisted Living Facility 3213 45th Street Ct Nw, Gig Harbor, WA 98335-8518 2013-10-08
1841627890 Emeritus Corporation Assisted Living Facility 4415 Columbine Dr, Bellingham, WA 98226-8039 2013-10-07
1699010975 Emeritus Corporation Hospice, Inpatient 705 Luther Rd, Red Bluff, CA 96080-4265 2012-11-28
1396005195 Emeritus Corporation Assisted Living Facility 211 Bradshaw Dr, Prescott, AZ 86303-4405 2012-05-25
1730464181 Emeritus Corporation Assisted Living Facility 1979 Route 70 E, Cherry Hill, NJ 08003-1895 2011-10-18
1588948707 Emeritus Corporation Assisted Living Facility 25 Worthen Rd, Durham, NH 03824-4612 2011-10-06
1861776080 Emeritus Corporation Assisted Living Facility 300 Village Ln, Bennington, VT 05201-9041 2011-10-06

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities EMERITUS CORPORATION 111 Westwood Place, Suite 400, Brentwood, TN 37027
Colorado Business Entities EMERITUS CORPORATION 111 Westwood Place, Suite 400, Brentwood, TN 37027
Washington State Corporations EMERITUS CORPORATION 111 Westwood Pl, Suite 400, Brentwood, TN 37027-5057
Oregon Corporations, Companies and Business Names EMERITUS CORPORATION 111 Westwood Place, Suite 400, Brentwood, TN 37027
Massachusetts Corporations EMERITUS CORPORATION 3131 Elliott Ave., Ste. 500, Seattle, WA 98121
Oklahoma Business Registrations EMERITUS CORPORATION 3131 Elliott Ave Ste 500, Seattle, WA 98121
Connecticut Business Registrations EMERITUS CORPORATION 3131 Elliott Avenue, Suite 500, Seattle, WA 98121
Vermont Business Registrations EMERITUS CORPORATION 3131 Elliott Ave, Ste 500, Seattle, WA 98121
Virginia Business Entities Emeritus Corporation 111 Westwood Place, Ste 400, Brentwood, Tennessee 37027

Office Location

Street Address 3610 RANDOLPH RD
City CHARLOTTE
State NC
Zip Code 28211-1318

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164662680 Sunrise Eastover Assisted Living, LLC Assisted Living Facility 3610 Randolph Rd, Charlotte, NC 28211-1318 2009-02-24
1821491150 S-h Opco Eastover, LLC Assisted Living Facility 3610 Randolph Rd, Charlotte, NC 28211-1318 2014-10-01
1619218419 Bridget M D'anjou Physical Therapist 3610 Randolph Rd, Charlotte, NC 28211-1318 2013-03-05
1538417019 Jessica S Rogers Physical Therapist 3610 Randolph Rd, Charlotte, NC 28211-1318 2012-08-15
1053629576 Mary Dee Ann Bird Occupational Therapist 3610 Randolph Rd, Charlotte, NC 28211-1318 2010-09-17
1780991166 Tamor B Martin Occupational Therapist 3610 Randolph Rd, Charlotte, NC 28211-1318 2010-09-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184277832 I and J Wheelchair Transportation Non-emergency Medical Transport (VAN) 1512 Delane Avenue, Charlotte, NC 28211 2019-07-22
1922563923 The Charlotte-mecklenburg Hospital Authority Psychiatry & Neurology 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 2019-02-04
1649798273 Ally Home Care Charlotte LLC In Home Supportive Care 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 2017-09-04
1154866770 Vaibhav Bajaj Dentist 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 2017-01-05
1508254939 Lindsay Marie Smits Speech-Language Pathologist 427 N. Wendover Rd., Charlotte, NC 28211 2015-01-08
1457755480 Kristen Hammer Physical Therapy Assistant 4120 Providence Rd Apt D, Charlotte, NC 28211 2014-10-20
1669805610 Carla Elizabeth Scott Physical Therapist 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 2013-08-14
1760726368 Jill Hensdale Shipp Social Worker 307 Hunter Lane, Charlotte, NC 28211 2012-11-20
1346592722 Danielle Marie Benoit Occupational Therapist 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 2012-10-09
1487910832 John Joseph Marcel Jr. Orthopaedic Surgery 449 North Wendover Rd Ste A, Charlotte, NC 28211 2012-04-10
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326695404 Snh Nc Tenant LLC Assisted Living Facility 5920 Mcchesney Dr, Charlotte, NC 28269-6238 2019-08-22
1699247056 Hamilton Family Care Home LLC Assisted Living Facility 13418 Hamilton Rd, Charlotte, NC 28278-8200 2018-12-26
1982151650 Charlotte Opco Holdings, LLC Assisted Living Facility 4815 N Sharon Amity Rd, Charlotte, NC 28205-4669 2016-09-09
1104248202 Queen City Al Holdings, LLC Assisted Living Facility 13600 S Tryon St, Charlotte, NC 28278-7623 2014-01-09
1588912075 Quality Assisted Living Care Assisted Living Facility 8118 Ivy Hollow Dr, Charlotte, NC 28227-2439 2012-08-15
1205106366 Innovative Residential Care, LLP Assisted Living Facility 6602 Cardinal Glen Ct, Charlotte, NC 28269-6182 2012-01-06
1619246675 Innovative Residential Care LLP Assisted Living Facility 9305 Kestral Ridge Dr, Charlotte, NC 28269-6170 2011-12-21
1477877967 Carmel Hills Assisted Living Facility 2801 Carmel Rd, Charlotte, NC 28226-6393 2010-03-26
1851524698 Sh Charlotte Regency Leasing LLC Assisted Living Facility 9120 Willow Ridge Rd, Charlotte, NC 28210-8313 2009-08-27
1164662680 Sunrise Eastover Assisted Living, LLC Assisted Living Facility 3610 Randolph Rd, Charlotte, NC 28211-1318 2009-02-24
Find all providers in CHARLOTTE

Competitor

Search similar providers

City CHARLOTTE
Zip Code 28211

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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