Organization Active NPI

Emerald Health Service Inc

  • Adult Day Care Clinic/Center
  • City of Industry, CA
National Provider Identifier
1891846671
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
060000898 Issued in CA
Legal business name
EMERALD HEALTH SERVICE INC
Practice address
17520 Castleton St Ste 103
City of Industry, CA 91748-5798
Phone
(626) 581-9959
Fax
(626) 581-9929
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Mr. Wen Lin
Title
President
Phone
(626) 581-9959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 060000898 CA Primary

Addresses

Primary practice location

17520 Castleton St Ste 103
City of Industry, CA 91748-5798

Mailing address

17520 Castleton St Ste 103
City of Industry, CA 91748-5798
Phone (626) 581-9959

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1016759Emerald Health Services17520 Castleton St Ste 103, City of Industry, CA 91748Certificate of waiverSep 4, 2027

National Provider Directory

National Provider Directory

Locations

17520 Castleton St
Ste 103
City of Industry, CA 91748
Phone (626) 581-9959

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1891846671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17520 CASTLETON ST STE 103",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917485798",
            "telephone_number": "626-581-9959",
            "fax_number": "626-581-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17520 CASTLETON ST STE 103",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917485798",
            "telephone_number": "626-581-9959",
            "fax_number": "626-581-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD HEALTH SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "WEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-581-9959",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "060000898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.