NPIMap

Organization Active NPI

Emma Georgia Home Care LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1730810367
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EMMA GEORGIA HOME CARE LLC
Practice address
3400 Red Lion Rd Apt 2C
Philadelphia, PA 19114-1309
Phone
(267) 924-4530
NPI assigned
Jun 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Dominique Dangerfield
Title
President
Phone
(267) 924-4530

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3400 Red Lion Rd Apt 2C
Philadelphia, PA 19114-1309

Mailing address

3400 Red Lion Rd Apt 2C
Philadelphia, PA 19114-1309
Phone (267) 924-4530

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1730810367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 RED LION RD APT 2C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141309",
            "telephone_number": "267-924-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 RED LION RD APT 2C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141309",
            "telephone_number": "267-924-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMA GEORGIA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "DANGERFIELD",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-924-4530"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.