Provider Demographics
NPI:1003449158
Name:EMARY HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:EMARY HOME CARE SERVICES LLC
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOSTAFA
Authorized Official - Middle Name:KAMAL
Authorized Official - Last Name:MAHAMUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-396-3273
Mailing Address - Street 1:3277 LAVENTURE DR
Mailing Address - Street 2:
Mailing Address - City:CHAMBLEE
Mailing Address - State:GA
Mailing Address - Zip Code:30341-3647
Mailing Address - Country:US
Mailing Address - Phone:404-455-0964
Mailing Address - Fax:
Practice Address - Street 1:3277 LAVENTURE DR
Practice Address - Street 2:
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-3647
Practice Address - Country:US
Practice Address - Phone:404-455-0964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-18
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care
No305S00000XManaged Care OrganizationsPoint of Service
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
No332U00000XSuppliersHome Delivered Meals
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child