Organization · Type 2 NPI

Emeritus Corporation

Assisted Living Facility · Pocatello, ID

NPI number 1538294871 Active

Practice location

1501 Baldy Ave
Pocatello, ID 83201-7117

Call (208) 237-6866 Map

Fax (208) 237-3889

Mailing address

6737 W Washington St, Suite 2300
Milwaukee, WI 53214-5647

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	RC770 (ID)

Assisted Living Facility: 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.

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NPI record

NPI: 1538294871
Entity type: Organization (Type 2)
Issued: Feb 23, 2007
Last updated: Jul 20, 2020
Status: Active
Subpart: Yes of Brookdale Senior Living Inc

Other names

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Brookdale Pocatello · doing business as
Brookdale Pocatello · doing business as

Authorized official

Joanne K Leskowicz
Senior Vice President
(414) 918-5000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1538294871

Emeritus Corporation's National Provider Identifier is 1538294871, issued on Feb 23, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Pocatello, ID. The record was last updated on Jul 20, 2020.