Organization Active NPI

Emmanuel'S Professional Services LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1861007304
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EMMANUEL'S PROFESSIONAL SERVICES LLC
Practice address
6009 Torresdale Ave
Philadelphia, PA 19135-3715
Phone
(267) 388-6941
NPI assigned
Sep 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Authorized official

Name
Beaubrun Emmanuel
Title
Owner/Administrator/President
Phone
(267) 498-8919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6009 Torresdale Ave
Philadelphia, PA 19135-3715

Mailing address

624 Levick St
Philadelphia, PA 19111-5738

National Provider Directory

National Provider Directory

Locations

6009 Torresdale Ave
Philadelphia, PA 19135
Phone (267) 388-6941

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1861007304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 LEVICK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 TORRESDALE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191353715",
            "telephone_number": "267-388-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL'S PROFESSIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "EMMANUEL",
        "authorized_official_first_name": "BEAUBRUN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR/PRESIDENT",
        "authorized_official_telephone_number": "267-498-8919"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.