Provider Demographics
NPI:1750279642
Name:EMMANUEL HOME CARE AGENCY LLC
Entity type:Organization
Organization Name:EMMANUEL HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MERCY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITHWICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-790-6055
Mailing Address - Street 1:22 WILEY CT
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-1158
Mailing Address - Country:US
Mailing Address - Phone:404-790-6055
Mailing Address - Fax:
Practice Address - Street 1:22 WILEY CT
Practice Address - Street 2:
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-1158
Practice Address - Country:US
Practice Address - Phone:404-790-6055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care