Active NPI
Emmanuel Home Health Services, Inc.
- Community/Behavioral Health Agency
- Elkridge, MD
National Provider Identifier
1770182115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 566703700 | Medicaid | MD | |
| 66703700 | Medicaid | MD |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | jsol@emmanuel.care | Direct | |
| CONNECT URL | CRISP | Health Information Exchange (HIE) |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2209198 | Emmanuel Home Health Services | Certificate of waiver | Jan 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.