Provider Demographics
NPI:1144760307
Name:EMMAUS HOMEHEALTH LLC
Entity Type:Organization
Organization Name:EMMAUS HOMEHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-595-1460
Mailing Address - Street 1:2417 GREAT BEAR LN
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-2908
Mailing Address - Country:US
Mailing Address - Phone:940-595-1460
Mailing Address - Fax:940-891-0772
Practice Address - Street 1:2417 GREAT BEAR LN
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-2908
Practice Address - Country:US
Practice Address - Phone:940-595-1460
Practice Address - Fax:940-891-0772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-07
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health