Organization
EMERICARE, INC.
Active
Parent organization
BROOKDALE SENIOR LIVING INC
Other names
Brookdale San Dimas
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKDALE SENIOR LIVING INC
Authorized official
JOANNE K LESKOWICZ (SENIOR VICE PRESIDENT)
(414) 918-5000
Entity
Organization
Contact information
Practice address
1740 S SAN DIMAS AVE, SAN DIMAS, CA 91773-5108
(909) 394-0304
(909) 394-0903
Mailing address
1740 S SAN DIMAS AVE, SAN DIMAS, CA 91773-5108
(909) 394-0304
(909) 394-0903
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
950000124
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950000124
CALIFORNIA DEPT OF PUBLIC HEALTH
CA
Enumeration date
09/26/2008
Last updated
07/10/2020
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