Provider Demographics
NPI:1598268278
Name:EMERALD HUB INC
Entity Type:Organization
Organization Name:EMERALD HUB INC
Other - Org Name:EMERALD HUB HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHIDINMA
Authorized Official - Middle Name:
Authorized Official - Last Name:JANETT-DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-412-7857
Mailing Address - Street 1:14415 CHADRON AVE APT 213
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-0601
Mailing Address - Country:US
Mailing Address - Phone:562-412-7857
Mailing Address - Fax:
Practice Address - Street 1:16300 CRENSHAW BLVD STE 201
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-1441
Practice Address - Country:US
Practice Address - Phone:562-412-7857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-09
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based