Organization Active NPI

Empress Emyraldz LLC

  • In Home Supportive Care Agency
  • Memphis, TN
National Provider Identifier
1699445189
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EMPRESS EMYRALDZ LLC
Practice address
160 Windover Rd Apt 4
Memphis, TN 38111-6054
Phone
(901) 441-7711
Fax
(901) 441-6611
NPI assigned
Sep 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Reather Wendi KujoriNPI 1790455376
Title
Owner
Phone
(510) 684-9529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

160 Windover Rd Apt 4
Memphis, TN 38111-6054

Mailing address

160 Windover Rd Apt 4
Memphis, TN 38111-6054
Phone (901) 441-7711

National Provider Directory

National Provider Directory
Tax ID family
Empress Emyraldz LLC2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1699445189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WINDOVER RD APT 4",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381116054",
            "telephone_number": "901-441-7711",
            "fax_number": "901-441-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WINDOVER RD APT 4",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381116054",
            "telephone_number": "901-441-7711",
            "fax_number": "901-441-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPRESS EMYRALDZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "KUJORI",
        "authorized_official_first_name": "REATHER",
        "authorized_official_middle_name": "WENDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-684-9529"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.