Organization Active NPI

Emerald Home Healthcare Services

  • Home Health Agency
  • Toledo, OH
National Provider Identifier
1205605417
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EMERALD HOME HEALTHCARE SERVICES
Practice address
5425 Southwyck Blvd Ste 250
Toledo, OH 43614-1533
Phone
(419) 491-1133
Fax
(419) 491-1187
NPI assigned
Dec 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Mr. Ayub Ibrahim
Title
Owner
Phone
(614) 806-7880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5425 Southwyck Blvd Ste 250
Toledo, OH 43614-1533

Mailing address

5425 Southwyck Blvd Ste 250
Toledo, OH 43614-1533
Phone (419) 491-1133

Other identifiers 1

IdentifierTypeStateIssuer
0045466MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1205605417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 SOUTHWYCK BLVD STE 250",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141533",
            "telephone_number": "419-491-1133",
            "fax_number": "419-491-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 SOUTHWYCK BLVD STE 250",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141533",
            "telephone_number": "419-491-1133",
            "fax_number": "419-491-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD HOME HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "AYUB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-806-7880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0045466",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.