Provider Demographics
NPI:1003294653
Name:EMERALD HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:EMERALD HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-694-6688
Mailing Address - Street 1:1700 ROUTE 23
Mailing Address - Street 2:SUITE 125
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-7536
Mailing Address - Country:US
Mailing Address - Phone:973-694-6688
Mailing Address - Fax:973-694-7277
Practice Address - Street 1:1700 ROUTE 23
Practice Address - Street 2:SUITE 125
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-7536
Practice Address - Country:US
Practice Address - Phone:973-694-6688
Practice Address - Fax:973-694-7277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-15
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health