1. Home
  2. Directory
  3. California
  4. Anaheim
  5. Assisted Living Facility
  6. NPI Profile

EMERITUS AT FAIRWOOD MANOR
NPI 1609106590
Assisted Living Facility in Anaheim, CA

Active since December 28, 2009
200 N DALE AVE, ANAHEIM, CA 92801(714) 761-5771 Get Directions Write a Review

NPPES record last updated: December 28, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Emeritus At Fairwood Manor NPPES

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

EMERITUS AT FAIRWOOD MANOR (NPI 1609106590) is a healthcare organization registered as an assisted living facility in Anaheim, California and active in the NPI registry since December 2009. The organization lists Noelle Bickel, Licensing Specialist, as its authorized official.

NPPES Registry Identity

NPI1609106590
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUMMERVILLE AT FAIRWOOD MANOR, LLC
Location Address200 N DALE AVEAnaheim, CA 92801-4897
Mailing Address3131 Elliott Ave Ste 500Seattle, WA 98121-1032
Phone(714) 761-5771
Organization SubpartYesParent: Summerville At Cobbco, Inc.
Authorized OfficialNoelle BickelLicensing Specialist · (206) 298-2909
Enumeration DateDecember 28, 2009
✔ NPI 1609106590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

200 N DALE AVE, Anaheim, CA 92801
Open in Google Maps ↗

Other Names 1

Doing Business AsEmeritus At Fairwood Manor

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 Summerville At Fairwood Manor, LLC's NPI number?

The NPI number for Summerville At Fairwood Manor, LLC is 1609106590. It was assigned to this organization in the NPPES registry on December 28, 2009.

Where is Summerville At Fairwood Manor, LLC located?

Summerville At Fairwood Manor, LLC is located at 200 N Dale Ave, Anaheim, CA 92801. The listed phone number is (714) 761-5771.

What is Summerville At Fairwood Manor, LLC'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 Summerville At Fairwood Manor, LLC was last updated on December 28, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.