Provider Demographics
NPI:1518150770
Name:EMMACH SERVICES, INC.
Entity Type:Organization
Organization Name:EMMACH SERVICES, INC.
Other - Org Name:EMMACH HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ATSIANZALE
Authorized Official - Last Name:WAKHANALA
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:301-445-2258
Mailing Address - Street 1:7333 NEW HAMPSHIRE AVE
Mailing Address - Street 2:SUITE 905
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-6958
Mailing Address - Country:US
Mailing Address - Phone:301-445-2258
Mailing Address - Fax:301-445-1098
Practice Address - Street 1:7333 NEW HAMPSHIRE AVE
Practice Address - Street 2:SUITE 905
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6958
Practice Address - Country:US
Practice Address - Phone:301-445-2258
Practice Address - Fax:301-445-1098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2414251E00000X
MDLC2248305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No305S00000XManaged Care OrganizationsPoint of Service