Emmanuel Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EMMANUEL HOME HEALTH CARE LLC

Doing business as

Emmanuel Home Health Care

Practice address

7671 Central Ave NE Ste 201
Fridley, MN 55432-3542

Phone

(763) 316-4892

Fax

(833) 312-0108

NPI assigned

Aug 26, 2022

Organization subpart

No

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

Authorized official

Name

Gemechis G Guja, RN, PHN

Title

Adminstrator

Phone

(952) 923-6581

Specialties & licenses 4

Addresses

Other names 1

• Emmanuel Home Health Care Doing business as

Locations

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1407575954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 118TH AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495443",
            "telephone_number": "952-923-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7671 CENTRAL AVE NE STE 201",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323542",
            "telephone_number": "763-316-4892",
            "fax_number": "833-312-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "GUJA",
        "authorized_official_first_name": "GEMECHIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "952-923-6581",
        "authorized_official_credential": "RN, PHN"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emmanuel Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Fridley, MN
• Providers in Fridley, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.