EMERITUS PROPERTIES NGH, LLC (NPI# 1992832018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992832018 |
| Entity Type | Organization |
| Organization Name | EMERITUS PROPERTIES NGH, LLC |
| Other Organization Name | BROOKDALE MELBOURNE |
| Practice Address |
1765 West Hibiscus Blvd Melbourne FL 32901 |
| Mailing Address |
6737 W Washington St Ste 2300 Milwaukee WI 53214-5650 |
| Practice Telephone | 3217337111 |
| Practice Fax Number | 3217331412 |
| Mailing Telephone | 4149185000 |
| Mailing Fax Number | 2063014500 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2016-06-13 |
| 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 |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 9396 | FL | Nursing & Custodial Care Facilities |
| N | 311500000X | Alzheimer Center (Dementia Center) | 9396 | FL | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | AL9396 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 06852327-00 | 05 | |
| FL | 685232700 | 05 |
| Other Name | Type Code |
|---|---|
| Brookdale Melbourne | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285961722 | Emeritus Properties Ngh, LLC | Alzheimer Center (Dementia Center) | 4730 E State Blvd, Fort Wayne, IN 46815-6975 | 2009-11-04 |
| 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 |
| 1427386861 | Emeritus Properties Ngh, LLC | Assisted Living Facility | 5501 E Michigan St, Orlando, FL 32822-2779 | 2009-11-23 |
| Street Address |
1765 WEST HIBISCUS BLVD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| 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 |
|---|---|---|---|---|
| 1922512656 | Chakiah Tucker Mitchell | Assisted Living Facility | 2421 Lipscomb St, Melbourne, FL 32901-5572 | 2017-11-16 |
| 1619329422 | Assisted Lovely Living Facility LLC | Assisted Living Facility | 1702 Trimble Rd, Melbourne, FL 32934-9034 | 2016-07-05 |
| 1770948853 | Allcia LLC | Assisted Living Facility | 4457 Parkway Dr, Melbourne, FL 32934-7767 | 2015-12-16 |
| 1760885784 | House of Light Senior Living IIi | Assisted Living Facility | 2306 Woodlawn Cir, Melbourne, FL 32934-7645 | 2014-10-04 |
| 1891100996 | Enclave Assisted Living II | Assisted Living Facility | 2518 Bernice Ct, Melbourne, FL 32935-3415 | 2014-06-26 |
| 1386072858 | Ginnys Place II | Assisted Living Facility | 2251 Turtle Mound Rd, Melbourne, FL 32934-7650 | 2013-10-21 |
| 1194153676 | Ginnys Place of Suntree | Assisted Living Facility | 730 Whispering Pines Cir, Melbourne, FL 32940-7831 | 2013-10-21 |
| 1457787962 | Grammys House Corp | Assisted Living Facility | 3401 Lakewood Dr, Melbourne, FL 32904-5206 | 2013-09-17 |
| 1043644495 | Florida Assisted Living Homes LLC | Assisted Living Facility | 2204 Parsons Ave, Melbourne, FL 32901-5234 | 2013-08-21 |
| 1831535616 | Guyco Senior Living Concepts | Assisted Living Facility | 2400 New York St, Melbourne, FL 32904-6230 | 2013-05-20 |
| Find all providers in MELBOURNE | ||||
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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.