Brookdale Echelon Lake

LBN: Emeritus Corporation
Brookdale Echelon Lake is an health care organization with primary practice located at 207 Laurel Road , Voorhees NJ 08043. 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 (856) 772-9400, or through Leskowicz, Joanne K via phone (414) 918-5000.

Contact Information

Primary practice address
207 Laurel Road Voorhees NJ 08043
Phone: (856) 772-9400
Fax: (856) 772-3769
Website:
Map and Directions
Authorized official contact:
Name: Leskowicz, Joanne K
Phone: (414) 918-5000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X SIPFEP New Jersey
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 20A001 New Jersey
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X SIPFEP New Jersey

Profile Details

NPI number 1568580199
LBN Legal business name Emeritus Corporation
DBA Doing business as Brookdale Echelon Lake
Authorized official Leskowicz, Joanne K
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 26th, 2007
Last updated Jul 20th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568580199 NPPES
New Jersey MEDICAID 8712409

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