Provider Demographics
NPI:1417034596
Name:EMAL HOME HEALTH CARE, CORP.
Entity Type:Organization
Organization Name:EMAL HOME HEALTH CARE, CORP.
Other - Org Name:EMAL PROFESSIONAL SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARIDAD
Authorized Official - Middle Name:
Authorized Official - Last Name:MANZANAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-592-9515
Mailing Address - Street 1:3100 NW 72ND AVE
Mailing Address - Street 2:SUITE # 104
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1351
Mailing Address - Country:US
Mailing Address - Phone:305-592-9515
Mailing Address - Fax:305-592-9405
Practice Address - Street 1:3100 NW 72ND AVE
Practice Address - Street 2:SUITE # 104
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1351
Practice Address - Country:US
Practice Address - Phone:305-592-9515
Practice Address - Fax:305-592-9405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20325096332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0855900001Medicare NSC