Provider Demographics
NPI:1942721501
Name:EMON HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:EMON HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHIEMEKA EMMANUEL
Authorized Official - Middle Name:O
Authorized Official - Last Name:EGBUZIEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-656-8967
Mailing Address - Street 1:2005 BROADWAY ST STE 115
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-1945
Mailing Address - Country:US
Mailing Address - Phone:770-656-8967
Mailing Address - Fax:409-730-7052
Practice Address - Street 1:2005 BROADWAY ST STE 115
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-1945
Practice Address - Country:US
Practice Address - Phone:770-656-8967
Practice Address - Fax:409-730-7052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-04
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty