The Emmanuel Home II

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL092528 Issued in NC

Legal business name

THE EMMANUEL HOME II

Practice address

5901 S Sharon Dr
Raleigh, NC 27603-4665

Phone

(919) 349-5540

Fax

(919) 255-1775

NPI assigned

Aug 21, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Eloise M Dowtin, RN

Title

Administrator

Phone

(919) 349-5540

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1689821662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26153",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276116153",
            "telephone_number": "919-349-5540",
            "fax_number": "919-255-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 S SHARON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276034665",
            "telephone_number": "919-349-5540",
            "fax_number": "919-255-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EMMANUEL HOME II",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "DOWTIN",
        "authorized_official_first_name": "ELOISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-349-5540",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL092528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The D Barfield Enterprises LLC
• The Dawson Center PLLC (Dawson Center)
• The Dermatology Center of Raleigh
• The Dyer Home (Triangle Alternatives Inc.)
• The Emmanuel Home
• The Emmanuel Home III
• The Emmanuel Home III (E D Emmanuel Homes,LLC)
• The Full Coverage PDN Company
• The Garden Wellness Group PLLC (The Garden)
• The Good Samaritan Counseling, PA

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.