Emmanuel Medical Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EMMANUEL MEDICAL SERVICES LLC

Practice address

1417 Douglas Ave Ste 2
North Providence, RI 02904-4057

Phone

(401) 200-8242

Fax

(401) 415-0418

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Amos Adelaiye

Title

Office Manager

Phone

(401) 200-8242

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Emmanuel Medical Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Emmanuel Medical Services LLC

  • Nurse Practitioner
  • North Providence, RI
  • NPI 1215645742
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adebola Adelaiye

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Providence, RI
  • NPI 1427489657
  NPD

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1861274813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DORRANCE ST STE 700",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029032014",
            "telephone_number": "401-200-8242",
            "fax_number": "401-415-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 DOUGLAS AVE STE 2",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044057",
            "telephone_number": "401-200-8242",
            "fax_number": "401-415-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "ADELAIYE",
        "authorized_official_first_name": "AMOS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-200-8242"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EM17385",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elite Medical Center LLC
• Stephen R Ellin, MD
• Emergency Care Services of New England PC
• Emergency Medical Associates of Rhode Island PC
• Emmanuel Medical Services LLC
• Empire Vision Center Inc
• Michelle Eppel, CRNA
• Aaron Christopher Ercole, D.D.S.
• Chanel Evora
• Excel Academy Rhode Island

• Psychiatric/Mental Health Nurse Practitioner in North Providence, RI
• Providers in North Providence, RI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.