Emy Home Care Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

EMY HOME CARE INC.

Practice address

801 Wildabon Ave
Lake Wales, FL 33853-3458

Phone

(863) 624-2712

NPI assigned

Sep 8, 2021

Organization subpart

No

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

Authorized official

Name

Emilia Jean Simon

Title

Director

Phone

(863) 624-2712

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1831868405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WILDABON AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533458",
            "telephone_number": "863-624-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WILDABON AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533458",
            "telephone_number": "863-624-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMY HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "JEAN SIMON",
        "authorized_official_first_name": "EMILIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "863-624-2712"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.