Provider Demographics
NPI:1144741869
Name:EMERALD TOTAL CARE LLC
Entity Type:Organization
Organization Name:EMERALD TOTAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RONKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ODIGIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-832-0522
Mailing Address - Street 1:10101 SOUTHWEST FWY STE 370
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1140
Mailing Address - Country:US
Mailing Address - Phone:866-832-0522
Mailing Address - Fax:281-973-4606
Practice Address - Street 1:10101 SOUTHWEST FWY STE 370
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1140
Practice Address - Country:US
Practice Address - Phone:866-832-0522
Practice Address - Fax:281-973-4606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-03
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty