Provider Demographics
NPI:1972955060
Name:EMERALD HEALTHCARE INC.
Entity Type:Organization
Organization Name:EMERALD HEALTHCARE INC.
Other - Org Name:TUCSON MEDICAL HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKINAJYAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, BSN
Authorized Official - Phone:520-372-2144
Mailing Address - Street 1:7660 E BROADWAY BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-3759
Mailing Address - Country:US
Mailing Address - Phone:520-372-2144
Mailing Address - Fax:
Practice Address - Street 1:7660 E BROADWAY BLVD STE 103
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-3759
Practice Address - Country:US
Practice Address - Phone:520-372-2144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-12
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health