Emmadeline Home Care LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

EMMADELINE HOME CARE LLC

Practice address

36260 W Picasso St
Maricopa, AZ 85138-5397

Phone

(480) 234-7355

NPI assigned

May 20, 2022

Organization subpart

No

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

Authorized official

Name

Florence Anto

Title

Owner

Phone

(480) 234-7355

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1881332716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36260 W PICASSO ST",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385397",
            "telephone_number": "480-234-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36260 W PICASSO ST",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385397",
            "telephone_number": "480-234-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMADELINE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "ANTO",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-234-7355"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Helen Edwards, B.A., SLPA
• Elinat Health Care LLC
• Darrell Lemont Ellis Jr., ADMINISTRATOR
• Shannon Ellis
• Emani Care Homes LLC
• Empact - Suicide Prevention Center
• Empact - Suicide Prevention Center
• Empact - Suicide Prevention Center
• Empower Mental Health Solutions LLC
• Enchanted Sky Family Psychiatry, PLLC

• Assisted Living Facility (Behavioral Disturbances) in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Assisted Living Facility (Behavioral Disturbances) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.