Provider Demographics
NPI:1508006032
Name:EMERGING HOME CARE INCORPORATED
Entity Type:Organization
Organization Name:EMERGING HOME CARE INCORPORATED
Other - Org Name:EMERGING HOME CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CHIEF PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:RPH CDE
Authorized Official - Phone:334-863-7511
Mailing Address - Street 1:3868 HIGHWAY 431
Mailing Address - Street 2:P.O. BOX 899
Mailing Address - City:ROANOKE
Mailing Address - State:AL
Mailing Address - Zip Code:36274-2640
Mailing Address - Country:US
Mailing Address - Phone:334-863-7511
Mailing Address - Fax:334-863-7500
Practice Address - Street 1:3868 HIGHWAY 431
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:AL
Practice Address - Zip Code:36274-2640
Practice Address - Country:US
Practice Address - Phone:334-863-7511
Practice Address - Fax:334-863-7500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1105623336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009509230Medicaid