Emerald Blue Health Care Services

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

EMERALD BLUE HEALTH CARE SERVICES

Practice address

822 Garden Trace LN
Houston, TX 77018-6342

Phone

(832) 876-1360

Fax

(713) 426-3603

NPI assigned

Sep 9, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Mytoia Moss

Title

Owner/Program Director

Phone

(832) 876-1360

Specialties & licenses 1

Addresses

Other names 1

• Mytoia Moss Doing business as

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043204530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 GARDEN TRACE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770186342",
            "telephone_number": "832-876-1360",
            "fax_number": "713-426-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 GARDEN TRACE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770186342",
            "telephone_number": "832-876-1360",
            "fax_number": "713-426-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD BLUE HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "MYTOIA",
        "authorized_official_title_or_position": "OWNER/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "832-876-1360",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mytoia Moss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sunday Emedem, RN
• Nalisha Emegwako, REGISTERED DIETITIAN
• Ethel Emehel
• Ikenna Kingsley Emelogu
• Ifeyinwa Theodora Emenaha, PHARM.D,RN
• Emerald Care Hospice LLC
• Emerald Chiropractic Clinic LLC
• Emerald Dental Management, PA
• Emerald Family Dentistry PLLC
• Emerald Healthcare Supply LLC.00.

• Contractor in Houston, TX
• Providers in Houston, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.