Emmaus Villa, Llc

LBN: Emmaus Villa, Llc
Emmaus Villa, Llc is an health care organization with primary practice located at 6271 Nw 15Th St , Margate FL 33063-2702. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Emmaus Villa, Llc can be contacted via phone (954) 873-2561, or through Parathundil, Jessy via phone (954) 873-2561.

Contact Information

Primary practice address
6271 Nw 15Th St Margate FL 33063-2702
Phone: (954) 873-2561
Fax: (954) 247-9560
Website:
Map and Directions
Authorized official contact:
Name: Parathundil, Jessy
Phone: (954) 873-2561

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1750017166
LBN Legal business name Emmaus Villa, Llc
DBA Doing business as
Authorized official Parathundil, Jessy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2022
Last updated Jul 27th, 2022 - about 3 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 1750017166 NPPES
Florida MEDICAID 012183500

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