Active NPI
Emannuel Care Home Health Agency, LLC
Doing business as Emannuel Care Home HEalth
- Home Health Agency
- Hayward, CA
National Provider Identifier
1851699813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 550001874
- 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, 2013
- 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
- Ms. Miliakere Tawake
- Title
- Member/Administrator
- Phone
- (510) 885-1926
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 550001874 | Other | CA | STATE OF CA, DEPARTMENT OF PUBLIC HEALTH |
Other names 1
- Emannuel Care Home HEalth
National Provider Directory
National Provider DirectoryLocations
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.