Provider Demographics
NPI:1255142998
Name:EMADE HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:EMADE HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUMMELONG
Authorized Official - Middle Name:STANLEY
Authorized Official - Last Name:SONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-207-0494
Mailing Address - Street 1:4595 SAMOYED DR APT 301
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-3575
Mailing Address - Country:US
Mailing Address - Phone:614-207-0494
Mailing Address - Fax:
Practice Address - Street 1:4595 SAMOYED DR APT 301
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-3575
Practice Address - Country:US
Practice Address - Phone:614-207-0494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care