EMERITUS CORPORATION (NPI# 1821301359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821301359 |
| Entity Type | Organization |
| Organization Name | EMERITUS CORPORATION |
| Other Organization Name | BROOKDALE LEBANON |
| Practice Address |
181 S 5th St Lebanon OR 97355-2711 |
| Mailing Address |
6737 W Washington St Suite 2300 Milwaukee WI 53214-5647 |
| Practice Telephone | 5412587706 |
| Practice Fax Number | 5412582233 |
| Enumeration Date | 2010-07-26 |
| 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 | 521956 | 05 |
| Other Name | Type Code |
|---|---|
| Brookdale Lebanon | 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 |
| Street Address |
181 S 5TH ST |
| City | LEBANON |
| State | OR |
| Zip Code | 97355-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487771275 | Century Fields | Assisted Living Facility | 181 S 5th St, Lebanon, OR 97355-2711 | 2007-03-25 |
| 1114560869 | Csl - Lebanon, LLC | Assisted Living Facility | 181 S 5th St, Lebanon, OR 97355-2745 | 2019-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
| 1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
| 1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
| 1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
| 1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
| 1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
| 1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
| 1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
| Find all providers in zip 97355 | ||||
| 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 |
|---|---|---|---|---|
| 1326664947 | Fm Oaks, LLC | Assisted Living Facility | 621 W Oak St, Lebanon, OR 97355-1788 | 2020-06-19 |
| 1164085577 | Otterbein Lebanon | Assisted Living Facility | 585 North State Route 741, Lebanon, OH 45036-8839 | 2019-04-22 |
| 1427401546 | Bellwood Assisted Living LLC | Assisted Living Facility | 3190 Carthage Hwy, Lebanon, TN 37087-9564 | 2016-07-14 |
| 1720416399 | Al Lebanon Operations, LLC | Assisted Living Facility | 860 Norman Dr, Lebanon, PA 17042-7499 | 2013-10-17 |
| 1891032710 | Southern Manor Living Centers of Lebanon, LLC | Assisted Living Facility | 900 Coles Ferry Pike, Lebanon, TN 37087-5677 | 2013-01-11 |
| 1043520133 | Countryside Home, LLC | Assisted Living Facility | 24499 Park Dr, Lebanon, MO 65536-5843 | 2010-10-07 |
| 1467640631 | Alice Peck Day Health Systems | Assisted Living Facility | 121 Mascoma St, Lebanon, NH 03766-2610 | 2007-10-12 |
| 1225244940 | Bristol Care, Inc. | Assisted Living Facility | 1316 Deadra Dr, Lebanon, MO 65536-4609 | 2007-05-16 |
| 1487771275 | Century Fields | Assisted Living Facility | 181 S 5th St, Lebanon, OR 97355-2711 | 2007-03-25 |
| 1306970025 | Krn-dns Inc. | Assisted Living Facility | 31841 Highway 5, Lebanon, MO 65536-6898 | 2007-03-15 |
| Find all providers in LEBANON | ||||
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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.