Emmanuel Ridge Escorted Transportation Services

LBN: Emmanuel Ridge Home Care Agency Inc
Emmanuel Ridge Escorted Transportation Services is an health care organization with primary practice located at 2073 Hwy 49 South , Florence MS 39073-1944. The organization recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as the primary health care specialty. Emmanuel Ridge Home Care Agency Inc can be contacted via phone (601) 709-3304, or through Ezem, Beatrice A via phone (601) 927-9839.

Contact Information

Primary practice address
2073 Hwy 49 South Florence MS 39073-1944
Fax: (601) 709-3307
Website:
Authorized official contact:
Name: Ezem, Beatrice A RN, CM, CLNC

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X 03056516 Mississippi

Profile Details

NPI number 1235314634
LBN Legal business name Emmanuel Ridge Home Care Agency Inc
DBA Doing business as Emmanuel Ridge Escorted Transportation Services
Authorized official Ezem, Beatrice A RN, CM, CLNC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2008
Last updated Jan 3rd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235314634 NPPES
Mississippi MEDICAID 03056516

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