Organization Active NPI

Emannuel Care Home Health Agency, LLC

Doing business as Emannuel Care Home HEalth

  • Home Health Agency
  • Hayward, CA
National Provider Identifier
1851699813
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550001874 Issued in CA
Legal business name
EMANNUEL CARE HOME HEALTH AGENCY, LLC
Doing business as
Emannuel Care Home HEalth
Practice address
22245 Main St
Suite# 104
Hayward, CA 94541-4028
Phone
(510) 885-1926
Fax
(510) 886-8418
NPI assigned
Mar 1, 2011
Last updated
Jul 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Ms. Miliakere Tawake
Title
Member/Administrator
Phone
(510) 885-1926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550001874 CA Primary

Addresses

Primary practice location

22245 Main St
Suite# 104
Hayward, CA 94541-4028

Mailing address

22245 Main St
Suite# 104
Hayward, CA 94541-4028
Phone (510) 885-1926

Other identifiers 1

IdentifierTypeStateIssuer
550001874OtherCASTATE OF CA, DEPARTMENT OF PUBLIC HEALTH

Other names 1

  • Emannuel Care Home HEalth Doing business as

National Provider Directory

National Provider Directory

Locations

22245 Main St
Ste 104
Hayward, CA 94541
Phone (510) 885-1926

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1851699813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22245 MAIN ST",
            "address_2": "SUITE# 104",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414028",
            "telephone_number": "510-885-1926",
            "fax_number": "510-886-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22245 MAIN ST",
            "address_2": "SUITE# 104",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414028",
            "telephone_number": "510-885-1926",
            "fax_number": "510-886-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMANNUEL CARE HOME HEALTH AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "TAWAKE",
        "authorized_official_first_name": "MILIAKERE",
        "authorized_official_title_or_position": "MEMBER/ADMINISTRATOR",
        "authorized_official_telephone_number": "510-885-1926",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550001874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CA, DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "550001874",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emannuel Care Home HEalth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.