NPIMap

Organization Active NPI

E D Emmanuel Homes,LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Knightdale, NC
National Provider Identifier
1700068392
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL092654 Issued in NC
Legal business name
E D EMMANUEL HOMES,LLC
Practice address
303 Aqua Marine LN
Knightdale, NC 27545-7870
Phone
(919) 349-5540
Fax
(919) 255-1775
NPI assigned
Dec 5, 2007
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Ms. Eloise M. Dowtin, RNNPI 1407036031
Title
Owner
Phone
(919) 349-5540

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
Mental Illness Community Based Residential Treatment Facility 320800000X MHL092654 NC Primary

Addresses

Primary practice location

303 Aqua Marine LN
Knightdale, NC 27545-7870

Mailing address

PO Box 26153
Raleigh, NC 27611-6153
Phone (919) 349-5540

National Provider Directory

National Provider Directory
Tax ID family
Dowtin's Therapeutic Home6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1700068392",
    "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": "303 AQUA MARINE LN",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457870",
            "telephone_number": "919-349-5540",
            "fax_number": "919-255-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E D EMMANUEL HOMES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "DOWTIN",
        "authorized_official_first_name": "ELOISE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-349-5540",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL092654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

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