Organization Active NPI

Emizen Home Care, LLC

  • In Home Supportive Care Agency
  • Matthews, NC
National Provider Identifier
1134520638
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EMIZEN HOME CARE, LLC
Practice address
13124 Idlewild Rd
Suite 2
Matthews, NC 28105
Phone
(980) 237-8785
Fax
(704) 814-8850
NPI assigned
Sep 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Authorized official

Name
Rosa Perkins Holloway
Title
Director of Operations
Phone
(704) 677-0368

Specialties & licenses 1

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

Addresses

Primary practice location

13124 Idlewild Rd
Suite 2
Matthews, NC 28105

Mailing address

12302 Carmel Dale LN
Houston, TX 77089-5719
Phone (281) 795-1061

National Provider Directory

National Provider Directory

Locations

13124 Idlewild Rd
#2
Matthews, NC 28105
Phone (980) 237-8785

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1134520638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12302 CARMEL DALE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770895719",
            "telephone_number": "281-795-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13124 IDLEWILD RD",
            "address_2": "SUITE 2",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "28105",
            "telephone_number": "980-237-8785",
            "fax_number": "704-814-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMIZEN HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "PERKINS",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "704-677-0368"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.