Brookdale Flagstaff
LBN: Emeritus Corporation
Brookdale Flagstaff is an health care organization with primary practice located at 2100 S Woodlands Village Blvd , Flagstaff AZ 86001. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center). Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty.
Emeritus Corporation can be contacted via phone (928) 779-7045, or through Richardson, Bryan via phone (615) 564-8131.
Contact Information
Primary practice address
2100 S Woodlands Village Blvd
Flagstaff AZ 86001
Phone: (928) 779-7045
Fax: (928) 779-0098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | ALC5027 | Arizona |
| Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) | 311500000X | ALC5027 | Arizona |
Profile Details
| NPI number | 1043422801 |
|---|---|
| LBN Legal business name | Emeritus Corporation |
| DBA Doing business as | Brookdale Flagstaff |
| Authorized official | Richardson, Bryan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | May 12th, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043422801 | NPPES |
| Arizona | MEDICAID | 952780 |
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