Provider Demographics
NPI:1417404575
Name:EMPORIA BG OPCO LLC
Entity Type:Organization
Organization Name:EMPORIA BG OPCO LLC
Other - Org Name:EMPORIA PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED SIGNATORY
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:TARSNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-725-7000
Mailing Address - Street 1:330 N WABASH AVE
Mailing Address - Street 2:SUITE 3700
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3586
Mailing Address - Country:US
Mailing Address - Phone:312-725-7000
Mailing Address - Fax:
Practice Address - Street 1:1200 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-2557
Practice Address - Country:US
Practice Address - Phone:620-342-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility