Organization Active NPI

Emmanuel Staffing LLC

  • In Home Supportive Care Agency
  • Waldorf, MD
National Provider Identifier
1114229556
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EMMANUEL STAFFING LLC
Practice address
4261 Queen CT
Waldorf, MD 20602-1503
Phone
(240) 640-3261
NPI assigned
Nov 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
October Smith
Title
C.F.O.
Phone
(240) 640-3261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4261 Queen CT
Waldorf, MD 20602-1503

Mailing address

4261 Queen CT
Waldorf, MD 20602-1503

Other names 1

  • Smith Robb & Emmanuel Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1114229556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 QUEEN CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4261 QUEEN CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021503",
            "telephone_number": "240-640-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "OCTOBER",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "240-640-3261"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith Robb & Emmanuel",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.