Provider Demographics
NPI:1134520638
Name:EMIZEN HOME CARE, LLC
Entity type:Organization
Organization Name:EMIZEN HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:PERKINS
Authorized Official - Last Name:HOLLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-677-0368
Mailing Address - Street 1:12302 CARMEL DALE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-5719
Mailing Address - Country:US
Mailing Address - Phone:281-795-1061
Mailing Address - Fax:
Practice Address - Street 1:13124 IDLEWILD RD
Practice Address - Street 2:SUITE 2
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105
Practice Address - Country:US
Practice Address - Phone:980-237-8785
Practice Address - Fax:704-814-8850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-16
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care