Emedi Umbrella LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EMEDI UMBRELLA LLC

Doing business as

emedi embrella LLc

Practice address

2542 W Pecan Rd
Phoenix, AZ 85041-4497

Phone

(806) 680-7232

NPI assigned

Sep 22, 2023

Last updated

Sep 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dieudonne Emedi

Title

Ceo

Phone

(806) 680-7232

Specialties & licenses 1

Addresses

Other names 1

• emedi embrella LLc Doing business as

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1679352363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 W PECAN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414497",
            "telephone_number": "806-680-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 W PECAN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414497",
            "telephone_number": "806-680-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMEDI UMBRELLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "EMEDI",
        "authorized_official_first_name": "DIEUDONNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-680-7232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "emedi embrella LLc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.