Provider Demographics
NPI:1790672228
Name:EMANAGED CARE
Entity type:Organization
Organization Name:EMANAGED CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:AJAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-818-7018
Mailing Address - Street 1:PO BOX 3582
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91221-3582
Mailing Address - Country:US
Mailing Address - Phone:323-818-7018
Mailing Address - Fax:888-998-2068
Practice Address - Street 1:1450 N FAIR OAKS AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-1801
Practice Address - Country:US
Practice Address - Phone:323-818-7018
Practice Address - Fax:888-998-2068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder