Provider Demographics
NPI:1083366413
Name:EMMANUEL CARE LLC
Entity Type:Organization
Organization Name:EMMANUEL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHINEMELU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-497-4173
Mailing Address - Street 1:23877 LEIGHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:48183-2775
Mailing Address - Country:US
Mailing Address - Phone:248-497-4173
Mailing Address - Fax:
Practice Address - Street 1:23877 LEIGHWOOD DR
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:MI
Practice Address - Zip Code:48183-2775
Practice Address - Country:US
Practice Address - Phone:248-497-4173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health