EMERITUS PROPERTIES NGH, LLC (NPI# 1285961722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285961722 |
| Entity Type | Organization |
| Organization Name | EMERITUS PROPERTIES NGH, LLC |
| Other Organization Name | VILLAGE OAKS AT FORT WAYNE |
| Practice Address |
4730 E State Blvd Fort Wayne IN 46815-6975 |
| Mailing Address |
3131 Elliott Ave Suite 500 Seattle WA 98121-1044 |
| Practice Telephone | 2604840308 |
| Practice Fax Number | 2604716665 |
| Mailing Telephone | 2062982909 |
| Mailing Fax Number | 2063014500 |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |
| Authorized Official Name | NOELLE DIAZ BICKEL (LICENSING SPECIALIST) |
| Authorized Official Telephone | 2062982909 |
| Is Organization Subpart | Y |
| Parent Organization Name | EMERITUS CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | 08-003273-1 | IN | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | 088-003273-1 | IN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Village Oaks at Fort Wayne | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437396983 | Emeritus Properties Ngh, LLC | Alzheimer Center (Dementia Center) | 9309 S Orange Blossom Trl, Orlando, FL 32837-8300 | 2009-01-20 |
| 1770785529 | Emeritus Properties Ngh, LLC | Assisted Living Facility | 1016 Willa Springs, Winter Springs, FL 32708 | 2007-06-04 |
| 1326260829 | Emeritus Properties Ngh, LLC | Assisted Living Facility | 1919 West Carla Vista Drive, Chandler, AZ 85224 | 2007-05-03 |
| 1447471834 | Emeritus Properties Ngh, LLC | Assisted Living Facility | 3025 East Russell Road, Las Vegas, NV 89120 | 2007-05-01 |
| 1790908689 | Emeritus Properties Ngh, LLC | Assisted Living Facility | 2122 East Brown Road, Masa, AZ 85213-5200 | 2007-04-10 |
| 1144341629 | Emeritus Properties Ngh, LLC | Alzheimer Center (Dementia Center) | 7212 Us 31 S, Indianapolis, IN 46227-8549 | 2007-04-03 |
| 1700901501 | Emeritus Properties Ngh, LLC | Alzheimer Center (Dementia Center) | 5861 W Beverly Ln, Glendale, AZ 85306-1804 | 2007-03-20 |
| 1992832018 | Emeritus Properties Ngh, LLC | Assisted Living Facility | 1765 West Hibiscus Blvd, Melbourne, FL 32901 | 2007-02-27 |
| 1427386861 | Emeritus Properties Ngh, LLC | Assisted Living Facility | 5501 E Michigan St, Orlando, FL 32822-2779 | 2009-11-23 |
| Street Address |
4730 E STATE BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46815-6975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306305438 | Sullivan Services, Inc. | In Home Supportive Care | 2789-b Maplecrest Rd, Fort Wayne, IN 46815 | 2019-03-18 |
| 1598250144 | Altermease Gleason | Massage Therapist | 3406 Thames Drive, Fort Wayne, IN 46815 | 2018-06-26 |
| 1881000222 | Denise Sparks | Specialist | 6415 Benham Drive, Fort Wayne, IN 46815 | 2014-07-07 |
| 1962823138 | Chad Distelrath | Physical Therapy Assistant | 1717 Maplecrest Rd, Apt 112, Fort Wayne, IN 46815 | 2013-12-13 |
| 1689943409 | Kendall Joan Labrash | Physical Therapist | 4251 Lahmeyer Rd., Fort Wayne, IN 46815 | 2011-12-22 |
| 1801179718 | Jayson Laube | Pharmacist | 6201 Stellhorn, Fort Wayne, IN 46815 | 2011-09-27 |
| 1720294432 | Muscle Therapy Clinic LLC | Massage Therapist | 6409 Georgetown North Blvd, Fort Wayne, IN 46815 | 2007-05-16 |
| 1427186436 | Legoras Conture Fashions | Prosthetic/Orthotic Supplier | 3316 Inwood Drive, Fort Wayne, IN 46815 | 2007-03-01 |
| 1932252772 | Fort Wayne Smiles PC | Dentist | 2031 Reed Road, Fort Wayne, IN 46815 | 2007-01-18 |
| 1811078538 | Timothy Doody Lynch | Dentist | 4207 Hobson Court, Fort Wayne, IN 46815 | 2006-10-18 |
| Find all providers in zip 46815 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895390 | The Health and Hospital Corporation of Marion County | Assisted Living Facility | 2002 Heritage Park Dr, Fort Wayne, IN 46805-5806 | 2020-09-10 |
| 1730712886 | Cook Road Aal Lp | Assisted Living Facility | 3731 W Cook Rd, Fort Wayne, IN 46818-9403 | 2020-02-18 |
| 1194358119 | Ev Fw Limited Partnership | Assisted Living Facility | 12523 Auburn Rd, Fort Wayne, IN 46845-8797 | 2020-02-18 |
| 1073006938 | Fort Wayne Aal Lp | Assisted Living Facility | 7125 S Hanna Street, Fort Wayne, IN 46816 | 2018-06-14 |
| 1801205240 | Pulaski Memorial Hospital | Assisted Living Facility | 5250 Heritage Pkwy, Fort Wayne, IN 46835-1061 | 2014-08-11 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1063701886 | Lamplight Inn of Fort Wayne, LLC | Assisted Living Facility | 300 E Washington Blvd, Fort Wayne, IN 46802-3124 | 2011-04-01 |
| 1396034237 | Park Place Senior Living, LLC | Assisted Living Facility | 4411 Park Place Dr, Fort Wayne, IN 46845-8793 | 2011-03-31 |
| 1225212475 | The Health and Hospital Corporation of Marion County | Assisted Living Facility | 7833 W. Jefferson Blvd, Fort Wayne, IN 46804 | 2007-12-24 |
| 1093900672 | Assisted Living Concepts Inc | Assisted Living Facility | 2116 Butler Road, Fort Wayne, IN 47150 | 2007-09-07 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46815 |
Please comment or provide details below to improve the information on EMERITUS PROPERTIES NGH, LLC.
| 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.