Adult Daycare Health Services

LBN: Emmanuel Ridge Of Dekalb Inc
Adult Daycare Health Services is an health care organization with primary practice located at 14632 Hwy 39N/16E , Dekalb MS 39328. The organization recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Administrator, Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Adult Day Care. Ambulatory Health Care Facilities / Adult Day Care is the primary health care specialty. Emmanuel Ridge Of Dekalb Inc can be contacted via phone (601) 927-9839, or through Ezem, Beatrice via phone (601) 927-9839.

Contact Information

Primary practice address
14632 Hwy 39N/16E Dekalb MS 39328
Phone: (601) 927-9839
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ezem, Beatrice RN,CM,CLNC
Phone: (601) 927-9839

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Administrator 163WA2000X R815521 Mississippi
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X 08752218 Mississippi
Agencies / In Home Supportive Care 253Z00000X 03630719 Mississippi
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X 08752218 Mississippi

Profile Details

NPI number 1992191084
LBN Legal business name Emmanuel Ridge Of Dekalb Inc
DBA Doing business as Adult Daycare Health Services
Authorized official Ezem, Beatrice RN,CM,CLNC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2015
Last updated Apr 15th, 2015 - about 9 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 1992191084 NPPES
Mississippi MEDICAID 08752218

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