Emmanuel Healthcare Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

011701 Issued in TX

Legal business name

EMMANUEL HEALTHCARE SERVICES

Practice address

1111 W Arkansas LN Ste a
Arlington, TX 76013-6376

Phone

(817) 784-9454

Fax

(817) 467-7055

NPI assigned

Jan 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Raifu Foluwaso Mustapha, RN,BSN

Title

Owner

Phone

(817) 784-9454

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1003091968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W ARKANSAS LN STE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760136376",
            "telephone_number": "817-784-9454",
            "fax_number": "817-467-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W ARKANSAS LN STE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760136376",
            "telephone_number": "817-784-9454",
            "fax_number": "817-467-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "MUSTAPHA",
        "authorized_official_first_name": "RAIFU",
        "authorized_official_middle_name": "FOLUWASO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-784-9454",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Arlington, TX
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.