Provider Demographics
NPI:1548694144
Name:EMMANUEL CATALYST HHA LP
Entity type:Organization
Organization Name:EMMANUEL CATALYST HHA LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PIERRE
Authorized Official - Middle Name:CHARLY
Authorized Official - Last Name:POINTDUJOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-238-3585
Mailing Address - Street 1:1975 E SUNRISE BLVD
Mailing Address - Street 2:SUITE 521
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-1433
Mailing Address - Country:US
Mailing Address - Phone:800-441-3379
Mailing Address - Fax:888-673-6396
Practice Address - Street 1:255 NW 124TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-3613
Practice Address - Country:US
Practice Address - Phone:786-385-3451
Practice Address - Fax:888-673-6396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-30
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000730302F00000X
FL39968028302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization