Emerald Healthcare System Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

060-R-1435 Issued in GA

Legal business name

EMERALD HEALTHCARE SYSTEM INC

Practice address

4030 Great West Pkwy
Union City, GA 30291-7205

Phone

(770) 306-8102

Fax

(770) 306-8275

NPI assigned

Aug 4, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa Ifeoma Morah, BSN RN

Title

Administrator

Phone

(770) 306-8102

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1043764343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 GREAT WEST PKWY",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302917205",
            "telephone_number": "770-306-8102",
            "fax_number": "770-306-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 GREAT WEST PKWY",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302917205",
            "telephone_number": "770-306-8102",
            "fax_number": "770-306-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD HEALTHCARE SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "MORAH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "IFEOMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-306-8102",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "060-R-1435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Union City, GA
• Providers in Union City, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.