EMERITUS CORPORATION (NPI# 1407181209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407181209 |
| Entity Type | Organization |
| Organization Name | EMERITUS CORPORATION |
| Other Organization Name | EMERITUS AT PINE MEADOW |
| Practice Address |
107 Fox Chase Dr Hattiesburg MS 39402-2574 |
| Mailing Address |
3131 Elliott Ave Suite 500 Seattle WA 98121-1044 |
| Practice Telephone | 6012718480 |
| Practice Fax Number | 6012712510 |
| Mailing Telephone | 2062982909 |
| Mailing Fax Number | 2063014500 |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2009-10-12 |
| Authorized Official Name | NOELLE BICKEL (LICENSING SPECIALIST) |
| Authorized Official Telephone | 2062982909 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | 899 | MS | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Emeritus at Pine Meadow | Doing Business As Name - Organization |
| 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 |
| 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 |
| New York State Corporations | EMERITUS CORPORATION | 80 State Street, Albany, Ny 12207 |
| Street Address |
107 FOX CHASE DR |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-2574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| 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 |
|---|---|---|---|---|
| 1831371210 | Bedford Alzheimers Care Center, LLC | Alzheimer Center (Dementia Center) | 300 Cahal St, Suite B, Hattiesburg, MS 39401-2922 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578012969 | Jennifer Turner | Alzheimer Center (Dementia Center) | 4607 Sherbrook Dr, Jackson, MS 39212-5860 | 2016-09-26 |
| 1366752727 | Five Star Quality Care-ms, LLC | Alzheimer Center (Dementia Center) | 1488 Belk Blvd., Oxford, MS 38655 | 2010-10-19 |
| 1942535745 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 4555 35th Ave, Meridian, MS 39305-2544 | 2009-10-12 |
| 1285963702 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 2120 Enterprise Dr, Biloxi, MS 39531-4039 | 2009-12-11 |
| 1720317241 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 410 Orchard Park, Ridgeland, MS 39157-5135 | 2009-12-11 |
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on EMERITUS CORPORATION.
| 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.