EMERITUS CORPORATION NPI 1609088525

NPI Information

NPI: 1609088525
Provider Name: EMERITUS CORPORATION

Doing Business As: BROOKDALE COEUR D'ALENE

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

CLIA Number: 13D2201173

Address:
205 E ANTON AVE
COEUR D ALENE, ID
ZIP 83815
Phone: (208) 667-6490
Get Directions

EMERITUS CORPORATION is an assisted living facility in Coeur D Alene, ID. 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 1609088525. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Coeur D'alene.

The provider's business location address is:

205 E ANTON AVE
COEUR D ALENE, ID
ZIP 83815-721
Phone: (208) 667-6490
Fax: (208) 765-4352

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 13D2201173 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 7/20/2020.

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
1	310400000X	Assisted Living Facility				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	M8055838	MEDICAID	IDAHO

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

NPI Synchronization or Removal

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