Organization Active NPI

The Emmanuel Home III

  • In Home Supportive Care Agency
  • Raleigh, NC
National Provider Identifier
1477977189
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
THE EMMANUEL HOME III
Practice address
405 Morson St
Raleigh, NC 27601-1559
Phone
(919) 607-2041
Fax
(919) 890-5571
NPI assigned
Feb 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Tammy Meadows
Title
Management
Phone
(919) 607-2041

Specialties & licenses 1

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

Addresses

Primary practice location

405 Morson St
Raleigh, NC 27601-1559

Mailing address

5212 Sweetbriar Dr
Raleigh, NC 27609-4544
Phone (919) 607-2041

National Provider Directory

National Provider Directory
Tax ID family
Dowtin'S Therapeutic Home6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1477977189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 SWEETBRIAR DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094544",
            "telephone_number": "919-607-2041",
            "fax_number": "919-890-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MORSON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011559",
            "telephone_number": "919-607-2041",
            "fax_number": "919-890-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EMMANUEL HOME III",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "919-607-2041"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.