Organization Active NPI

Emmanuel Family Homes LLC

  • Registered Nurse
  • Spokane Valley, WA
National Provider Identifier
1568175289
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
EMMANUEL FAMILY HOMES LLC
Doing business as
Emmanuel Family Homes LLC
Practice address
4704 N Vercler LN
Spokane Valley, WA 99216-2382
Phone
(509) 200-1455
NPI assigned
Dec 27, 2022
Last updated
Aug 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Mrs. Edith S Corson, PMHNPNPI 1811662869
Title
Afh Owner
Phone
(509) 200-1455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NU Primary

Addresses

Primary practice location

4704 N Vercler LN
Spokane Valley, WA 99216-2382

Mailing address

23033 E Broadway Ave
Liberty Lake, WA 99019-7505
Phone (509) 200-1455

Other names 1

  • Emmanuel Family Homes LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL emmanuelfamilyhomesllc@gmail.com Other

National Provider Directory

National Provider Directory

Locations

4704 N Vercler Ln
Spokane Valley, WA 99216
Phone (509) 200-1455

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1568175289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23033 E BROADWAY AVE",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197505",
            "telephone_number": "509-200-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 N VERCLER LN",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162382",
            "telephone_number": "509-200-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL FAMILY HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "CORSON",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "AFH OWNER",
        "authorized_official_telephone_number": "509-200-1455",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "emmanuelfamilyhomesllc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email address",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "4704 N Vercler Ln",
            "city": "Spokane Valley",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992162382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Emmanuel Family Homes LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Emmanuel Family Homes LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.