Provider Demographics
NPI:1639236060
Name:EMORY PROPERTIES, LLC
Entity Type:Organization
Organization Name:EMORY PROPERTIES, LLC
Other - Org Name:GREEN ACRES NURSING & REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REIMBURSEMENT SPECIALISTS
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:REDD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-881-9432
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:EMORY
Mailing Address - State:TX
Mailing Address - Zip Code:75440-0040
Mailing Address - Country:US
Mailing Address - Phone:903-473-3752
Mailing Address - Fax:903-473-3141
Practice Address - Street 1:HWY 19 NORTH
Practice Address - Street 2:
Practice Address - City:EMORY
Practice Address - State:TX
Practice Address - Zip Code:75440
Practice Address - Country:US
Practice Address - Phone:903-881-9432
Practice Address - Fax:903-881-9517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5184Medicaid
TX5184Medicaid