Emeritus At Olive Grove

LBN: Emeritus Corporation
Emeritus At Olive Grove is an health care organization with primary practice located at 3014 E Indian School Rd , Phoenix AZ 85016-6887. 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 (602) 957-7021, or through Bickel, Noelle Diaz via phone (206) 298-2909.

Contact Information

Primary practice address
3014 E Indian School Rd Phoenix AZ 85016-6887
Phone: (602) 957-7021
Fax: (602) 957-0830
Website:
Map and Directions
Authorized official contact:
Name: Bickel, Noelle Diaz
Phone: (206) 298-2909

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X ALC-P-4752 Arizona
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X

Profile Details

NPI number 1902028145
LBN Legal business name Emeritus Corporation
DBA Doing business as Emeritus At Olive Grove
Authorized official Bickel, Noelle Diaz
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated May 3rd, 2010 - about 15 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 1902028145 NPPES
Arizona MEDICAID ALC-4752

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