Provider Demographics
NPI:1720326689
Name:EMMANUELLE'S IN-HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:EMMANUELLE'S IN-HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:LOCSIN
Authorized Official - Last Name:ANGAPAK
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:702-527-9088
Mailing Address - Street 1:1143 DEVON LAKE ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-2849
Mailing Address - Country:US
Mailing Address - Phone:702-527-9088
Mailing Address - Fax:
Practice Address - Street 1:1143 DEVON LAKE ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110-2849
Practice Address - Country:US
Practice Address - Phone:702-527-9088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-27
Last Update Date:2013-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7251PCS-0320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities