THE PERIDOT ASSISTED LIVING COMMUNITY
NPI 1396005195
Assisted Living Facility in Prescott, AZ

Q: What is Emeritus Corporation's NPI number?

The NPI number for Emeritus Corporation is 1396005195. It was assigned to this organization in the NPPES registry on May 25, 2012. The provider is doing business as The Peridot Assisted Living Community.

Q: What is Emeritus Corporation's specialty?

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

Active since May 25, 2012

211 BRADSHAW DR, PRESCOTT, AZ 86303(928) 777-5511(928) 777-2155 Get Directions Write a Review

NPPES record last updated: May 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About The Peridot Assisted Living Community NPPES

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

THE PERIDOT ASSISTED LIVING COMMUNITY (NPI 1396005195) is a healthcare organization registered as an assisted living facility in Prescott, Arizona and active in the NPI registry since May 2012. The organization lists Tracy Allen, Director Medicaid Services, as its authorized official.

NPPES Registry Identity

NPI1396005195

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameEMERITUS CORPORATION

Location Address211 BRADSHAW DRPrescott, AZ 86303-4405

Mailing Address3131 Elliott Ave, Suite 500Seattle, WA 98121-1044 · (206) 298-2909 · Fax (206) 357-7292

Phone(928) 777-5511

Fax(928) 777-2155

Organization SubpartNo

Authorized OfficialTracy AllenDirector Medicaid Services · (214) 701-7249

Enumeration DateMay 25, 2012

✔ NPI 1396005195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in AZ · AL8058C

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.

211 BRADSHAW DR, Prescott, AZ 86303

Open in Google Maps ↗

Other Names 1

Doing Business AsThe Peridot Assisted Living Community

Other Providers at the Same Location NPPES 2

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

S-H OPCO PERIDOT, LLC

Assisted Living Facility

211 BRADSHAW DR
PRESCOTT, AZ 86303

Yavapai County (928) 777-5511

FOX REHABILITATION SERVICES AZ LLC

Physical Therapist

211 BRADSHAW DR
PRESCOTT, AZ 86303

Yavapai County (877) 407-3422

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 1396005195. It was assigned to this organization in the NPPES registry on May 25, 2012. The provider is doing business as The Peridot Assisted Living Community.

Where is Emeritus Corporation located?

Emeritus Corporation is located at 211 Bradshaw Dr, Prescott, AZ 86303. The listed phone number is (928) 777-5511.

What is Emeritus Corporation's specialty?

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

When was this NPI record last updated?

The NPPES record for Emeritus Corporation was last updated on May 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.