Provider Demographics
NPI:1326735283
Name:EMIERIC HOME HEALTH LLC
Entity Type:Organization
Organization Name:EMIERIC HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:EFUETNGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-318-5396
Mailing Address - Street 1:4286 GARDENDALE CT
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-3461
Mailing Address - Country:US
Mailing Address - Phone:951-315-5396
Mailing Address - Fax:
Practice Address - Street 1:4286 GARDENDALE CT
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-3461
Practice Address - Country:US
Practice Address - Phone:951-315-5396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA334700189OtherHOME CARE ORGANIZATION LICENSE NUMBER