Provider Demographics
NPI:1124803747
Name:EMARALD GLORY HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:EMARALD GLORY HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:IWAGBEMI
Authorized Official - Last Name:DADA
Authorized Official - Suffix:
Authorized Official - Credentials:RN/BSN
Authorized Official - Phone:720-299-7795
Mailing Address - Street 1:13331 E WYOMING PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4343
Mailing Address - Country:US
Mailing Address - Phone:720-299-7795
Mailing Address - Fax:720-583-0326
Practice Address - Street 1:13331 E WYOMING PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4343
Practice Address - Country:US
Practice Address - Phone:720-299-7795
Practice Address - Fax:720-583-0326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Multi-Specialty
No315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities