Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emeritus Corporation

Organization Assisted Living Facility · NPI 1396005195

Emeritus Corporation is an Assisted Living Facility in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012

Practice location Address checks out

211 Bradshaw Dr
Prescott, AZ 86303-4405
Phone: (928) 777-5511
Fax: (928) 777-2155
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL8058C (AZ)

Record details

NPI number1396005195
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Allen — Director Medicaid Services · (214) 701-7249
Other names The Peridot Assisted Living Community
NPI enumeratedMay 25, 2012
Last updated in NPPESMay 25, 2012
Mailing address3131 Elliott Ave, Suite 500, Seattle, WA 98121-1044

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