EMERITUS CORPORATION (NPI# 1679887806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679887806 |
| Entity Type | Organization |
| Organization Name | EMERITUS CORPORATION |
| Other Organization Name | BROOKDALE SPRINGFIELD WOODSIDE |
| Practice Address |
4851 Main St Springfield OR 97478-6057 |
| Mailing Address |
6737 W Washington St Suite 2300 Milwaukee WI 53214-5647 |
| Practice Telephone | 5417471887 |
| Practice Fax Number | 5417470181 |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2016-05-16 |
| Authorized Official Name | BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER) |
| Authorized Official Telephone | 6155648131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | OR | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 521967 | 05 |
| Other Name | Type Code |
|---|---|
| Brookdale Springfield Woodside | 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 |
4851 MAIN ST |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97478-6057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336266139 | Woodside Asst Living LLC | Assisted Living Facility | 4851 Main St, Springfield, OR 97478-6057 | 2007-03-25 |
| 1881237535 | Csl - Springfield II, LLC | Assisted Living Facility | 4851 Main St, Springfield, OR 97478-6057 | 2019-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588225155 | Mckenzie Dental Center | Dentist | 110 S. 59th St, Springfield, OR 97478 | 2019-06-25 |
| 1831691310 | Michael Ryan Odle | Psychologist | 36716 Oak Point Rd, Springfield, OR 97478 | 2018-03-01 |
| 1639612880 | Icco LLC | Clinic/Center | 5781 Main Street, Springfield, OR 97478 | 2016-11-21 |
| 1639529258 | Nate John Sutherland | Behavioral Analyst | 37770 Upper Creek Road, Springfield, OR 97478 | 2016-06-14 |
| 1457760134 | Leah Rybolt | Physical Therapist | 145 South 52nd Place, Springfield, OR 97478 | 2014-08-07 |
| 1972918423 | Loree Lynn Howard | Case Manager/Care Coordinator | 4145 Jasper Road, Springfield, OR 97478 | 2014-06-24 |
| 1245589753 | Sarah M Boothe | Doula | 870 S 46th St, Springfield, OR 97478 | 2012-08-30 |
| 1902155401 | Dani Maree Hill | Pharmacist | 5744 Main Street, Springfield, OR 97478 | 2012-08-30 |
| 1295005312 | Express Services Unlimited, Inc. | Non-emergency Medical Transport (VAN) | 37506 Hills Creek Road, Springfield, OR 97478 | 2012-01-05 |
| 1255524468 | Leeann D Fields | Licensed Practical Nurse | 3318 Lakeview Dr, Eugene, OR 97478 | 2007-08-21 |
| Find all providers in zip 97478 | ||||
| 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 |
|---|---|---|---|---|
| 1871107482 | Springfield Residential, LLC | Assisted Living Facility | 2530 South Main Street, Springfield, TN 37172 | 2020-09-01 |
| 1649835034 | Joyco, Inc. | Assisted Living Facility | 2030 W Mount Vernon St, Springfield, MO 65802-4846 | 2019-05-01 |
| 1033648274 | Creekside At Elfindale | Assisted Living Facility | 1601 S Fort Ave, Springfield, MO 65807-8430 | 2017-06-10 |
| 1386039659 | Snh Al Aimo Tenant, Inc. | Assisted Living Facility | 3540 E Cherokee St, Springfield, MO 65809-2833 | 2015-04-02 |
| 1023403391 | Snh Al Aimo Tenant, Inc. | Assisted Living Facility | 2410 W Chesterfield Blvd, Springfield, MO 65807-8889 | 2015-04-02 |
| 1841682424 | Americare At Centennial Pointe Assisted Living LLC | Assisted Living Facility | 3440 Hedley Road, Springfield, IL 62711 | 2015-02-19 |
| 1851793285 | Timberlake Estates Slf, Lp | Assisted Living Facility | 2521 Empowerment Rd, Springfield, IL 62703-4983 | 2014-09-17 |
| 1851664981 | Sunrise Springfield Assisted Living LLC | Assisted Living Facility | 6541 Franconia Rd, Springfield, VA 22150-1801 | 2012-02-21 |
| 1215209226 | Bslc II | Assisted Living Facility | 1302 West Sunset, Springfield, MO 65807-5943 | 2012-02-07 |
| 1497998918 | Timberlake Senior Living | Assisted Living Facility | 2521 Empowerment Road, Springfield, IL 62703 | 2009-04-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97478 |
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.