Provider Demographics
NPI:1437914116
Name:EMALINA CARES LLC
Entity Type:Organization
Organization Name:EMALINA CARES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUSOLA
Authorized Official - Middle Name:SEGUN
Authorized Official - Last Name:OLAKUNDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-239-0806
Mailing Address - Street 1:2100 55TH AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55430-3013
Mailing Address - Country:US
Mailing Address - Phone:651-238-0806
Mailing Address - Fax:
Practice Address - Street 1:2100 55TH AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55430-3013
Practice Address - Country:US
Practice Address - Phone:651-238-0806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility