Provider Demographics
NPI:1558612077
Name:EMALINE'S HOME MEDICAL EQUIPMENT, LLC
Entity Type:Organization
Organization Name:EMALINE'S HOME MEDICAL EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:HOPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-626-3315
Mailing Address - Street 1:PO BOX 1845
Mailing Address - Street 2:
Mailing Address - City:NEW TAZEWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37824-1845
Mailing Address - Country:US
Mailing Address - Phone:423-626-3315
Mailing Address - Fax:423-626-0515
Practice Address - Street 1:123 N 19TH ST STE C101
Practice Address - Street 2:
Practice Address - City:MIDDLESBORO
Practice Address - State:KY
Practice Address - Zip Code:40965-2865
Practice Address - Country:US
Practice Address - Phone:606-896-8003
Practice Address - Fax:606-896-8004
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMALINE'S HOME MEDICAL EQUIPMENT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-09-24
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYHME00251332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0306000002OtherPTAN
KY1558612077OtherNPI
1134196157OtherNPI