Emmaus Health LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

3886 Issued in CT

Legal business name

EMMAUS HEALTH LLC

Practice address

945 Main St Ste 205
Manchester, CT 06040-6064

Phone

(860) 553-3020

Fax

(860) 553-3232

NPI assigned

Aug 1, 2018

Organization subpart

No

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

Authorized official

Name

Kelly A Pfeiffer, APRNNPI 1427207349

Title

Director

Phone

(860) 553-3020

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 2

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

• Kelly Pfeiffer, APRN

  • Adult Health Nurse Practitioner
  • Avon, CT
  • NPI 1427207349
  NPD Authorized official
• Maria Gratton

  • Peer Specialist
  • Manchester, CT
  • NPI 1245998715
  NPD (past)

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1922586809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 MAIN ST STE 205",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406064",
            "telephone_number": "860-553-3020",
            "fax_number": "860-553-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 MAIN ST STE 205",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406064",
            "telephone_number": "860-553-3020",
            "fax_number": "860-553-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMAUS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "PFEIFFER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "860-553-3020",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CT",
            "license": "3886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leniqueka Ellis, LMSW
• Samantha Ellis
• Danielle L Ellison
• Mark Elsesser, PA-C
• Emergency Care Services of Connecticut, P.C.
• Empathic Care Counseling LLC
• Empowered Mindscape LLC
• Jeanne T England
• Sherri L Englehart-Shea, RDH
• J Christopher Englert, DC

• Primary Care Clinic/Center in Manchester, CT
• Providers in Manchester, CT by specialty
• Primary Care Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.