Provider Demographics
NPI:1326285230
Name:EMERALD HEALTH CARE LLC
Entity Type:Organization
Organization Name:EMERALD HEALTH CARE LLC
Other - Org Name:PINNACLE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANINE
Authorized Official - Middle Name:
Authorized Official - Last Name:THIBODEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:225-248-8600
Mailing Address - Street 1:5627 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6032
Mailing Address - Country:US
Mailing Address - Phone:225-248-8600
Mailing Address - Fax:225-490-4236
Practice Address - Street 1:5627 S SHERWOOD FOREST BLVD
Practice Address - Street 2:STE A
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-6032
Practice Address - Country:US
Practice Address - Phone:225-248-8600
Practice Address - Fax:225-490-4236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA973251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1400696Medicaid
LA197770Medicare PIN