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EMERITUS CORPORATION NPI 1285963702


NPI Information

NPI: 1285963702
Provider Name: EMERITUS CORPORATION

Doing Business As: BROOKDALE BILOXI

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 25D2194277

Address:
2120 ENTERPRISE DR
BILOXI, MS
ZIP 39531
Phone: (228) 388-0946
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EMERITUS CORPORATION is an assisted living facility in Biloxi, MS. The provider is 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. EMERITUS CORPORATION NPI is 1285963702. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Biloxi.

The provider's business location address is:

2120 ENTERPRISE DR
BILOXI, MS
ZIP 39531-039
Phone: (228) 388-0946
Fax: (288) 338-8951

The provider's authorized official is Joanne K Leskowicz .
The authorized official title is Senior Vice President and has the following contact phone number (414) 918-5000.

The CLIA number assigned to this NPI record is 25D2194277 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2009 and was last updated on 5/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311500000XAlzheimer Center (Dementia Center)864MISSISSIPPINo
2310400000XAssisted Living Facility864MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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