EMERITUS AT OLIVE GROVE
NPI 1902028145
Assisted Living Facility in Phoenix, AZ

Q: What is Emeritus Corporation's NPI number?

The NPI number for Emeritus Corporation is 1902028145. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as Emeritus At Olive Grove.

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 03, 2007

3014 E INDIAN SCHOOL RD, PHOENIX, AZ 85016(602) 957-7021(602) 957-0830 Get Directions Write a Review

NPPES record last updated: May 3, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Emeritus At Olive Grove NPPES

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

EMERITUS AT OLIVE GROVE (NPI 1902028145) is a healthcare organization registered as an assisted living facility in Phoenix, Arizona and active in the NPI registry since May 2007. The organization lists Noelle Diaz Bickel, Licensing Specialist, as its authorized official.

NPPES Registry Identity

NPI1902028145

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameEMERITUS CORPORATION

Location Address3014 E INDIAN SCHOOL RDPhoenix, AZ 85016-6887

Mailing Address3131 Elliott Ave, Suite 500Seattle, WA 98121-1044 · (206) 298-2909 · Fax (206) 301-4500

Phone(602) 957-7021

Fax(602) 957-0830

Organization SubpartNo

Authorized OfficialNoelle Diaz BickelLicensing Specialist · (206) 298-2909

Enumeration DateMay 3, 2007

Last NPPES UpdateMay 3, 2010

✔ NPI 1902028145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in AZ · ALC-P-4752

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

3014 E INDIAN SCHOOL RD, Phoenix, AZ 85016

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Other Names 1

Doing Business AsEmeritus At Olive Grove

Other Identifiers 1

MedicaidALC-4752AZ

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.

OLIVE GROVE REAL ESTATE LLC

Assisted Living Facility

3014 E INDIAN SCHOOL RD
PHOENIX, AZ 85016

Maricopa County (623) 505-4668

KYLE KAZUKYNAS OTR/L

Occupational Therapist

3014 E INDIAN SCHOOL RD
PHOENIX, AZ 85016

Maricopa County (602) 957-7021

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 1902028145. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as Emeritus At Olive Grove.

Where is Emeritus Corporation located?

Emeritus Corporation is located at 3014 E Indian School Rd, Phoenix, AZ 85016. The listed phone number is (602) 957-7021.

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 3, 2010. 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.