Active NPI
Emmanuel Ministries International, Inc.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Greensboro, NC
National Provider Identifier
1689807448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- MHL041913
- Legal business name
- EMMANUEL MINISTRIES INTERNATIONAL, INC.
- Practice address
- 1005 Brushy Fork Dr
Greensboro, NC 27406-8061 - Phone
- (336) 617-6510
- Fax
- (336) 617-6510
- NPI assigned
- Aug 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carolyn Jean Fernandez, MS, MT(ASCP)SH
- Title
- Executive Director
- Phone
- (336) 617-6510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL041913 | NC | Primary |
Addresses
Primary practice location
1005 Brushy Fork Dr
Greensboro, NC 27406-8061
Mailing address
PO Box 1713
Jamestown, NC 27282-1713
Phone (336) 617-6510
Other names 1
- Homes of Emmanuel
National Provider Directory
National Provider Directory- Tax ID family
- Emmanuel Ministries International Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Greensboro, NC
- NPI 1811316656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251331200000",
"number": "1689807448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1713",
"city": "JAMESTOWN",
"state": "NC",
"postal_code": "272821713",
"telephone_number": "336-617-6510",
"fax_number": "336-617-6510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 BRUSHY FORK DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274068061",
"telephone_number": "336-617-6510",
"fax_number": "336-617-6510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMMANUEL MINISTRIES INTERNATIONAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-27",
"last_updated": "2009-08-27",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "336-617-6510",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS, MT(ASCP)SH"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MHL041913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Homes of Emmanuel",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.