Basic Information
| Provider Information | |||||||||
| NPI: | 1225166770 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | EMERITUS PROPERTIES-NGH, LLC | ||||||||
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| OtherOrganizationName: | MERIDIAN OAKS ASSISTED LIVING | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3131 ELLIOTT AVE | ||||||||
| Address2: | SUITE 500 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981211044 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2062982909 | ||||||||
| FaxNumber: | 2063014500 | ||||||||
| Practice Location | |||||||||
| Address1: | 1251 W 96TH ST | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462601181 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3175759200 | ||||||||
| FaxNumber: | 3175758209 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/28/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | BELFORD | ||||||||
| AuthorizedOfficialFirstName: | CHRIS | ||||||||
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| AuthorizedOfficialTitleorPosition: | VICE PRESIDENT OPERATIONS | ||||||||
| AuthorizedOfficialTelephone: | 2148235854 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 310400000X | IN | X | Nursing & Custodial Care Facilities | Assisted Living Facility | 311500000X | IN | X | Nursing & Custodial Care Facilities | Alzheimer Center (Dementia Center) |
No ID Information.