Organization Active NPI

Emmanuel Enterprises Inc.

  • In Home Supportive Care Agency
  • Valrico, FL
National Provider Identifier
1962759332
Registry record updated Aug 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
231496 Issued in FL
Legal business name
EMMANUEL ENTERPRISES INC.
Practice address
3325 Pine Top Dr
Valrico, FL 33594-7617
Phone
(813) 334-1835
NPI assigned
Aug 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2012

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

Authorized official

Name
Affiong Catherine Shyngle
Title
President / Ceo
Phone
(813) 334-1835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 231496 FL Primary

Addresses

Primary practice location

3325 Pine Top Dr
Valrico, FL 33594-7617

Mailing address

3325 Pine Top Dr
Valrico, FL 33594-7617
Phone (813) 334-1835

Other identifiers 1

IdentifierTypeStateIssuer
001721900MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344124800000",
    "number": "1962759332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 PINE TOP DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335947617",
            "telephone_number": "813-334-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 PINE TOP DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335947617",
            "telephone_number": "813-334-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-05",
        "last_updated": "2012-08-05",
        "status": "A",
        "authorized_official_last_name": "SHYNGLE",
        "authorized_official_first_name": "AFFIONG",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "813-334-1835"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "231496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001721900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2012; 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.