BROOKDALE EDDY POND EAST
NPI 1003942129
Assisted Living Facility in Auburn, MA

Q: What is Emeritus Corporation's NPI number?

The NPI number for Emeritus Corporation is 1003942129. It was assigned to this organization in the NPPES registry on February 25, 2007. The provider is doing business as Brookdale Eddy Pond East.

Q: What is Emeritus Corporation's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since February 25, 2007CLIA Certified · 2 labs

667 WASHINGTON ST, AUBURN, MA 01501(508) 832-2200(508) 832-2411 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brookdale Eddy Pond East NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKDALE EDDY POND EAST (NPI 1003942129) is a healthcare organization registered as an assisted living facility in Auburn, Massachusetts and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Bryan Richardson, Evp, Chief Admin. Officer, as its authorized official.

NPPES Registry Identity

NPI1003942129

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameEMERITUS CORPORATION

Location Address667 WASHINGTON STAuburn, MA 01501-2722

Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647

Phone(508) 832-2200

Fax(508) 832-2411

Organization SubpartNo

Authorized OfficialBryan RichardsonEvp, Chief Admin. Officer · (615) 564-8131

Enumeration DateFebruary 25, 2007

Last NPPES UpdateMay 16, 2016

✔ NPI 1003942129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

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.

Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X

667 WASHINGTON ST, Auburn, MA 01501

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Other Names 1

Doing Business AsBrookdale Eddy Pond East

Other Identifiers 1

Medicaid1903489MA

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2226963

Brookdale Eddy Pond East · Auburn, MA

Active · expires Jun 6, 2027

CLIA Number22D2226963

Laboratory TypeAssisted Living Facility

Certificate Effective DateJune 7, 2025

Certificate Expiration DateJune 6, 2027

Laboratory DirectorEileen M. Raucci

Laboratory Phone(508) 832-2200

Laboratory LocationBrookdale Eddy Pond East667 Washington Street, Auburn, MA 01501

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 22D2222275

Brookdale Eddy Pond West · Auburn, MA

Active · expires Apr 27, 2027

CLIA Number22D2222275

Laboratory TypeAssisted Living Facility

Certificate Effective DateApril 28, 2025

Certificate Expiration DateApril 27, 2027

Laboratory DirectorBrendan Doherty

Laboratory Phone(508) 832-2200

Laboratory LocationBrookdale Eddy Pond West669 Washington Street, Auburn, MA 01501

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMERITOL WOODS AT EDDY POND LLC

Assisted Living Facility

667 WASHINGTON ST
AUBURN, MA 01501

Worcester County (508) 832-8488

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emeritus Corporation's NPI number?

The NPI number for Emeritus Corporation is 1003942129. It was assigned to this organization in the NPPES registry on February 25, 2007. The provider is doing business as Brookdale Eddy Pond East.

Where is Emeritus Corporation located?

Emeritus Corporation is located at 667 Washington St, Auburn, MA 01501. The listed phone number is (508) 832-2200.

What is Emeritus Corporation's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Emeritus Corporation hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Emeritus Corporation was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.