Provider Demographics
NPI:1245637800
Name:EMMA'S HOUSE LLC
Entity type:Organization
Organization Name:EMMA'S HOUSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-609-0547
Mailing Address - Street 1:2995 E SUNSET RD
Mailing Address - Street 2:D-117
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-2726
Mailing Address - Country:US
Mailing Address - Phone:702-609-0547
Mailing Address - Fax:
Practice Address - Street 1:2995 E SUNSET RD
Practice Address - Street 2:D-117
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-2726
Practice Address - Country:US
Practice Address - Phone:702-609-0547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-25
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management