Provider Demographics
NPI:1144956871
Name:EMMA'S HOME CARE LLP
Entity type:Organization
Organization Name:EMMA'S HOME CARE LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TANESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-801-7275
Mailing Address - Street 1:113 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:ROANOKE RAPIDS
Mailing Address - State:NC
Mailing Address - Zip Code:27870-3711
Mailing Address - Country:US
Mailing Address - Phone:804-801-7275
Mailing Address - Fax:800-616-7068
Practice Address - Street 1:113 W 10TH ST
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870-3711
Practice Address - Country:US
Practice Address - Phone:804-801-7275
Practice Address - Fax:800-616-7068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-26
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCEMMA2025Medicaid
NCEMMA2024Medicaid