EMERITUS ASSISTED LIVING (NPI# 1255542072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255542072 |
| Entity Type | Organization |
| Organization Name | EMERITUS ASSISTED LIVING |
| Other Organization Name | EMERITUS AT CORONA |
| Practice Address |
2005 Kellogg Ave Corona CA 92879-3111 |
| Mailing Address |
3131 Elliott Ave Suite 500 Seattle WA 98121-1044 |
| Practice Telephone | 9518986991 |
| Mailing Telephone | 2062982909 |
| Mailing Fax Number | 2063014500 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2009-09-09 |
| Authorized Official Name | NOELLE DIAZ (LICENSING SPECIALIST) |
| Authorized Official Telephone | 2063014060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | 336409202 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Emeritus at Corona | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962619577 | Emeritus Assisted Living | Assisted Living Facility | 2500 Heritage Cir, Hendersonville, NC 28791-3514 | 2007-05-16 |
| Street Address |
2005 KELLOGG AVE |
| City | CORONA |
| State | CA |
| Zip Code | 92879-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| Find all providers in zip 92879 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425925 | Pacifica Newport Mesa LLC | Alzheimer Center (Dementia Center) | 2891 Bear St, Costa Mesa, CA 92626-4306 | 2020-10-22 |
| 1992304729 | Pacifica Riverside Sl Lp | Alzheimer Center (Dementia Center) | 6280 Clay St, Riverside, CA 92509-6005 | 2020-10-22 |
| 1235738071 | Pacifica Valley Crest Lp | Alzheimer Center (Dementia Center) | 18524 Corwin Rd, Apple Valley, CA 92307-2302 | 2020-10-22 |
| 1255930095 | Pacifica Senior Living Vacaville LLC | Alzheimer Center (Dementia Center) | 431 Nut Tree Rd, Vacaville, CA 95687-3508 | 2020-10-22 |
| 1689273401 | St Pauls Modesto Lp | Alzheimer Center (Dementia Center) | 2325 St Pauls Way, Modesto, CA 95355-3309 | 2020-10-22 |
| 1295332047 | Rvmur Operations Company | Alzheimer Center (Dementia Center) | 24271 Jackson Ave, Murrieta, CA 92562-1993 | 2020-10-05 |
| 1356980494 | Memory Spa, LLC | Alzheimer Center (Dementia Center) | 1950 Sunny Crest Dr Ste 1400, Fullerton, CA 92835-3642 | 2020-01-06 |
| 1851940308 | Vista Prado Inc | Alzheimer Center (Dementia Center) | 105 Power Dr, Vallejo, CA 94589-2529 | 2019-09-07 |
| 1821641507 | Ktre1, LLC | Alzheimer Center (Dementia Center) | 3219 Canon St, San Diego, CA 92106-2512 | 2019-07-22 |
| 1497229090 | Ktre3, LLC | Alzheimer Center (Dementia Center) | 7971 Culowee St, La Mesa, CA 91942-5509 | 2019-01-16 |
| Find all providers with the same taxonomy | ||||
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| 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.