Emerald Oaks Healthcare, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL 098-028 Issued in NC

Legal business name

EMERALD OAKS HEALTHCARE, LLC

Doing business as

Elm City Assisted Living

Practice address

416 N Parker St
Elm City, NC 27822-9217

Phone

(252) 245-3031

Fax

(252) 245-3033

NPI assigned

Sep 21, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Paula Armstrong

Title

Managing Member

Phone

(252) 245-3031

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elm City Assisted Living Doing business as

Locations

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1679881932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N PARKER ST",
            "city": "ELM CITY",
            "state": "NC",
            "postal_code": "278229217",
            "telephone_number": "252-245-3031",
            "fax_number": "252-245-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N PARKER ST",
            "city": "ELM CITY",
            "state": "NC",
            "postal_code": "278229217",
            "telephone_number": "252-245-3031",
            "fax_number": "252-245-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD OAKS HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "252-245-3031",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL 098-028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC-MEDICAID",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elm City Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marvin Russell Cowan, RPH
• Kaelyn Czyzewski
• Daniels Abundance of Care LLC.
• Elm City Pharmacy Inc
• Elm City Pharmacy Inc
• Geritent Enterprises, Inc.
• Jennifer Leigh Harrell, CRC
• Kelly Denise Herndon, PEER SUPPORT
• Patricia Raizel Umali Herrington, PT
• Elizabeth Black Horne

• Assisted Living Facility in Elm City, NC
• Providers in Elm City, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.