Organization Active NPI

Emily's Home Inc.

  • In Home Supportive Care Agency
  • Palm Bay, FL
National Provider Identifier
1184967069
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
231917 Issued in FL
Legal business name
EMILY'S HOME INC.
Practice address
474 Haskell Ave SE
Palm Bay, FL 32909-4059
Phone
(321) 953-3047
NPI assigned
Mar 29, 2013
Last updated
Mar 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Authorized official

Name
Eileen J Brown
Title
President
Phone
(321) 953-3047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 231917 FL Primary

Addresses

Primary practice location

474 Haskell Ave SE
Palm Bay, FL 32909-4059

Mailing address

474 Haskell Ave SE
Palm Bay, FL 32909-4059
Phone (321) 953-3047

Other identifiers 1

IdentifierTypeStateIssuer
00285800-1-2MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1184967069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 HASKELL AVE SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329094059",
            "telephone_number": "321-953-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 HASKELL AVE SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329094059",
            "telephone_number": "321-953-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY'S HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-953-3047"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "231917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00285800-1-2",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.