Emeritus at Lake Ridge – Assisted Living Facility, NPI 1104034412

Emeritus at Lake Ridge is a healthcare provider. based in Seattle, Washington. specializing in Assisted Living Facility. The organization holds a License No. WLO-03-780 (VA). The NPI Number for Emeritus at Lake Ridge is 1104034412

Main info

Organization
Name
Emeritus at Lake Ridge
NPI
1104034412
Phone
(206) 298-2909
Address
3131 ELLIOTT AVE
Authorized Official
NOELLE DIAZ LICENSING SPECIALIST
Enumeration Date
18 May 2007
Last Update Date
9 September 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Emeritus at Lake Ridge

  • TCS World Travel, 3131, Elliott Avenue, Lower Queen Anne, Belltown, Seattle, King County, Washington, 98121, United States

    SUITE 500

    SEATTLE, WA 981211032

    Phone: (206) 298-2909

    Fax: (206) 301-4500

    Type: Mailing

  • Prince William Parkway, Marumsco Acres, Woodbridge, Prince William County, Virginia, 22191, United States

    WOODBRIDGE, VA 221924513

    Phone: (703) 680-0600

    Fax: (703) 680-0790

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98121)

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Reviews

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Frequently asked questions

Can I use this page to confirm Emeritus at Lake Ridge's NPI?
Yes. Emeritus at Lake Ridge is listed with NPI 1104034412 in the public NPI dataset.
Does CMS list Emeritus at Lake Ridge as active?
Yes — Emeritus at Lake Ridge is active in the NPI listing used on this page.
What is Emeritus at Lake Ridge's specialty?
The listing groups Emeritus at Lake Ridge with Assisted Living Facility. Clinical services aligned with this taxonomy classification.
What address line appears for Emeritus at Lake Ridge?
Emeritus at Lake Ridge's geographic hint is Seattle, Washington in our summary view.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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