Organization Active NPI

Emmanuel Ministries International, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Greensboro, NC
National Provider Identifier
1689807448
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL041913 Issued in NC
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

Updated by the provider on Aug 27, 2009

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emmanuel Ministries International Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "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.

Verify at the official NPI Registry.