Organization
EMERITUS CORPORATION
Active
Organization
EMERITUS CORPORATION
Active
Other names
The Peridot Assisted Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY ALLEN (DIRECTOR MEDICAID SERVICES)
(214) 701-7249
Entity
Organization
Contact information
Practice address
211 BRADSHAW DR, PRESCOTT, AZ 86303-4405
(928) 777-5511
(928) 777-2155
Mailing address
3131 ELLIOTT AVE, SUITE 500, SEATTLE, WA 98121-1044
(206) 298-2909
(206) 357-7292
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8058C
AZ
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up