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EMERITUS AT FORREST PARK
NPI 1730415035
Assisted Living Facility in Hattiesburg, MS

Active since October 22, 2009
103 FOX CHASE DR, HATTIESBURG, MS 39402(601) 271-2177(601) 271-2411 Get Directions Write a Review

NPPES record last updated: October 22, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Emeritus At Forrest Park NPPES

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

EMERITUS AT FORREST PARK (NPI 1730415035) is a healthcare organization registered as an assisted living facility in Hattiesburg, Mississippi and active in the NPI registry since October 2009. The organization lists Noelle Diaz, Licensing Specialist, as its authorized official.

NPPES Registry Identity

NPI1730415035
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEMERITUS CORPORATION
Location Address103 FOX CHASE DRHattiesburg, MS 39402-2575
Mailing Address3131 Elliott Ave, Suite 500Seattle, WA 98121-1044 · (206) 298-2909 · Fax (206) 301-4500
Phone(601) 271-2177
Fax(601) 271-2411
Organization SubpartNo
Authorized OfficialNoelle DiazLicensing Specialist · (206) 298-2909
Enumeration DateOctober 22, 2009
✔ NPI 1730415035 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 MS · 882
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.
103 FOX CHASE DR, Hattiesburg, MS 39402
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Other Names 1

Doing Business AsEmeritus At Forrest Park

Other Providers at the Same Location NPPES 20

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

NICHOLAS WALKER
Physical Therapist
103 FOX CHASE DR
HATTIESBURG, MS 39402
Lamar County (601) 264-8828
JEREMY LOFTON
Occupational Therapist
103 FOX CHASE DR
HATTIESBURG, MS 39402
Lamar County (601) 366-1081
JEREMY JAYRELL SCOTT PT
Physical Therapist
103 FOX CHASE DR
HATTIESBURG, MS 39402
Lamar County (601) 264-8828
CARLY TOUPS
Occupational Therapist
103 FOX CHASE DR
HATTIESBURG, MS 39402
Lamar County (601) 366-1081
CARE180
Nurse Practitioner
103 FOX CHASE DR
HATTIESBURG, MS 39402
Lamar County (662) 588-5164
ALICIA THORNTON
Occupational Therapist
103 FOX CHASE DR
HATTIESBURG, MS 39402
Lamar County (601) 366-1081
MOLLY BONDS
Speech-Language Pathologist
103 FOX CHASE DR
HATTIESBURG, MS 39402
Lamar County (601) 264-8828
NAJA WALTON
Occupational Therapist
103 FOX CHASE DR
HATTIESBURG, MS 39402
Lamar County (601) 366-1081

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 1730415035. It was assigned to this organization in the NPPES registry on October 22, 2009. The provider is doing business as Emeritus At Forrest Park.

Where is Emeritus Corporation located?

Emeritus Corporation is located at 103 Fox Chase Dr, Hattiesburg, MS 39402. The listed phone number is (601) 271-2177.

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 October 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.