Provider Demographics
NPI:1346682929
Name:EMERALD HOME CARE LLC
Entity Type:Organization
Organization Name:EMERALD HOME CARE LLC
Other - Org Name:EMERALD HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:JOSHUA
Authorized Official - Last Name:NAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-392-4950
Mailing Address - Street 1:9434 E 51ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145-9033
Mailing Address - Country:US
Mailing Address - Phone:918-392-4950
Mailing Address - Fax:918-392-4951
Practice Address - Street 1:9434 E 51ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-9033
Practice Address - Country:US
Practice Address - Phone:918-392-4950
Practice Address - Fax:918-392-4951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK8000251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health