Emmaus Villa, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EMMAUS VILLA, LLC

Practice address

6271 NW 15TH St
Margate, FL 33063-2702

Phone

(954) 873-2561

Fax

(954) 247-9560

NPI assigned

Jul 27, 2022

Organization subpart

No

Name

Jessy Parathundil

Title

Administrator

Phone

(954) 873-2561

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 27, 2022.

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1750017166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6271 NW 15TH ST",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330632702",
            "telephone_number": "954-873-2561",
            "fax_number": "954-247-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6271 NW 15TH ST",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330632702",
            "telephone_number": "954-873-2561",
            "fax_number": "954-247-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMAUS VILLA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "PARATHUNDIL",
        "authorized_official_first_name": "JESSY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-873-2561"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012183500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Elvin
• Embassy Home Care Inc
• Emerald Nurse Registry.Inc
• Emmanuel Pediatrics LLC
• Charlyn Emmanuel, M.D.
• Empowerment Wellness Center, Inc
• Enhanced Health DME Supplies LLC
• Mark A Ennett, CRNA
• Esperanzamundial-LLC
• Jenny Estrin, PHARM D

• All providers in Margate, FL
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.