Emmanuel Residential Services

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EMMANUEL RESIDENTIAL SERVICES

Practice address

1328 Heritage Blvd Ste 5
Longview, TX 75605-1472

Phone

(903) 260-0412

NPI assigned

Dec 15, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. La Tonya S PolkNPI 1861551814

Title

Program Manager

Phone

(903) 315-8302

Specialties & licenses 5

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latonya Polk

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Longview, TX
  • NPI 1861551814

  Adult Day Care

  NPD Authorized official

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1245509504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 HERITAGE BLVD STE 5",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051472",
            "telephone_number": "903-260-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 HERITAGE BLVD STE 5",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051472",
            "telephone_number": "903-260-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "LA TONYA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "903-315-8302",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245509504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ross-Jordon Elliott, M.D.
• Mandy Elswick
• Ifeanyi Emmanuel Elueze, MD PHD
• Aubren Martin Emberton, PHARMD
• Emmanuel Behavioral Health & Wellness PLLC
• Encompass Mobile Wound Care and Wellness, PLLC
• Joanna Renee Endsley, P.T.
• Michelle Engdayehu, RN FNP
• Baylie Michele English
• Casey Renee English, APRN-CNP

• Assisted Living Facility in Longview, TX
• Providers in Longview, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.