Provider Demographics
NPI:1457470452
Name:EMMAUS HOMES INC.
Entity Type:Organization
Organization Name:EMMAUS HOMES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:JUDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER-LUPKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-328-0355
Mailing Address - Street 1:2200 W RANDOLPH ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-0848
Mailing Address - Country:US
Mailing Address - Phone:636-328-0355
Mailing Address - Fax:636-946-1081
Practice Address - Street 1:2200 W RANDOLPH ST
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-0848
Practice Address - Country:US
Practice Address - Phone:636-328-0355
Practice Address - Fax:636-946-1081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities