Organization Active NPI

Emmanuel Home Health Services, Inc.

  • Community/Behavioral Health Agency
  • Elkridge, MD
National Provider Identifier
1770182115
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMMANUEL HOME HEALTH SERVICES, INC.
Practice address
8174 Lark Brown Rd Ste 201
Elkridge, MD 21075-6426
Phone
(443) 288-6677
NPI assigned
Oct 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
Jessica Sol, RN
Title
Ceo/Administrator
Phone
(443) 288-6677

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

8174 Lark Brown Rd Ste 201
Elkridge, MD 21075-6426

Mailing address

8174 Lark Brown Rd Ste 201
Elkridge, MD 21075-6426
Phone (443) 288-6677

Other identifiers 2

IdentifierTypeStateIssuer
566703700MedicaidMD
66703700MedicaidMD

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL jsol@emmanuel.care Direct
CONNECT URL CRISP Health Information Exchange (HIE)

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2209198Emmanuel Home Health Services8174 Lark Brown Road #201, Elkridge, MD 21075Certificate of waiverJan 11, 2027

National Provider Directory

National Provider Directory

Locations

8174 Lark Brown Rd
Ste 201
Elkridge, MD 21075
Phone (443) 288-6677

NPI Registry JSON

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1770182115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8174 LARK BROWN RD STE 201",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756426",
            "telephone_number": "443-288-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8174 LARK BROWN RD STE 201",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756426",
            "telephone_number": "443-288-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-17",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "SOL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "443-288-6677",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "566703700",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66703700",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jsol@emmanuel.care",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "message",
            "address_1": "8174 Lark Brown Rd Ste 201",
            "city": "Elkridge",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210756426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CRISP",
            "affiliation": "N",
            "endpointDescription": "Unified Landing Page (ULP)",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jsol@emmanuel.care",
            "address_1": "8174 Lark Brown Rd Ste 201",
            "city": "Elkridge",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210756426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.