Emmanuel Ridge Home Care Agency Inc
Organization Active NPI Homemaker · Florence, MS
NPI 1790960102 · NPPES record last updated Jan 3, 2008
Key facts
- NPI
- 1790960102
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Homemaker 376J00000X
- License
- 03630719 (MS)
- Legal business name
- EMMANUEL RIDGE HOME CARE AGENCY INC
- Practice address
- 2073 Highway 49 S
Florence, MS 39073-9422 - Phone
- (601) 709-3304
- Fax
- (601) 709-3307
- NPI assigned
- Jan 3, 2008
- Organization subpart
- No
Authorized official
- Name
- Ms. Beatrice A Ezem, RN, CM, CLNC
- Title
- President/Ceo
- Phone
- (601) 927-9839
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Emmanuel Ridge Home Care Agency Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker |
376J00000X | 03630719 | MS | Yes |
Addresses
Primary practice location
2073 Highway 49 S
Florence, MS 39073-9422
Mailing address
2073 Highway 49 S
Florence, MS 39073-9422
Phone (601) 709-3304
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03630719 | Medicaid | MS |
Other names
- Emmanuel Ridge Homemaker Services
Other providers in Florence, MS
- Emmanuel Ridge Comm Phcy
- Emmanuel Ridge Community Health Clinic
- Emmanuel Ridge Community Service Organization
- Emmanuel Ridge Home Care Agency Inc
- Emmanuel Ridge Home Care Agency Inc
- Faith and Friends Healthcare Staffing LLC
- Florence Dental Clinic
- Florence Family Medicine, PLLC
- Florence Health Complex, LLC
- Florence Rehabilitation Center,Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.