# EMERITUS CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brookdale Cheyenne
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871807073
- **Authorized official:** BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
- **Authorized official phone:** (615) 564-8131

## Contact information

- **Practice address:** 6031 CHEYENNE AVE, LAS VEGAS, NV 89108-4200
- **Practice address phone:** (702) 658-5882
- **Practice address fax:** (702) 658-5842
- **Mailing address:** 6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NV | Yes |

## Other

- **Enumeration date:** 07/29/2010
- **Last updated:** 05/16/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1871807073 | NPPES | — |