Organization Active NPI

Emmanuel in Home Care, LLC

  • In Home Supportive Care Agency
  • Brockton, MA
National Provider Identifier
1891641312
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EMMANUEL IN HOME CARE, LLC
Practice address
63 Coolidge Ave
Brockton, MA 02302-3353
Phone
(617) 784-4264
Fax
(508) 510-4437
NPI assigned
Mar 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Yajaira VillarrealNPI 1598611014
Title
Ceo
Phone
(617) 784-7264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

63 Coolidge Ave
Brockton, MA 02302-3353

Mailing address

63 Coolidge Ave
Brockton, MA 02302-3353
Phone (617) 784-7264

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1891641312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 COOLIDGE AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023353",
            "telephone_number": "617-784-7264",
            "fax_number": "508-510-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 COOLIDGE AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023353",
            "telephone_number": "617-784-4264",
            "fax_number": "508-510-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL IN HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "YAJAIRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-784-7264"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.