EMMANUEL RIDGE HOME CARE AGENCY INC (NPI# 1235314634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235314634 |
| Entity Type | Organization |
| Organization Name | EMMANUEL RIDGE HOME CARE AGENCY INC |
| Other Organization Name | EMMANUEL RIDGE ESCORTED TRANSPORTATION SERVICES |
| Practice Address |
2073 Hwy 49 South Florence MS 39073-1944 |
| Practice Telephone | 6017093304 |
| Practice Fax Number | 6017093307 |
| Mailing Telephone | 6017093304 |
| Mailing Fax Number | 6017093307 |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |
| Authorized Official Name | MS. BEATRICE A EZEM (PRESIDENT/ CEO) |
| Authorized Official Telephone | 6019279839 |
| Authorized Official Credential | RN, CM, CLNC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 03056516 | MS | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03056516 | 05 |
| Other Name | Type Code |
|---|---|
| Emmanuel Ridge Escorted Transportation Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790960102 | Emmanuel Ridge Home Care Agency Inc | Homemaker | 2073 Highway 49 S, Florence, MS 39073-9422 | 2008-01-03 |
| 1528243938 | Emmanuel Ridge Home Care Agency Inc | Respite Care | 2073 Highway 49 S, Florence, MS 39073-9422 | 2008-01-03 |
| Street Address |
2073 HWY 49 SOUTH |
| City | FLORENCE |
| State | MS |
| Zip Code | 39073-1944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245415645 | Emmanuel Ridge Community Service Organization | Clinic/Center | 2073 Hwy 49 South, Florence, MS 39073-1944 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497295117 | Eletha Walker | Massage Therapist | 215 Walker Smith Rd, Florence, MS 39073 | 2017-02-28 |
| 1154691004 | Freds Stores of Tennessee Inc | Pharmacy | 2932 Hwy 49 S., Florence, MS 39073 | 2012-01-10 |
| 1538330444 | Florence Dental Clinic | Dentist | 129 Earl Clark Drive, Florence, MS 39073 | 2008-03-19 |
| 1548323579 | Thomas Raymond Byrd | Dentist | 129 Earl Clark Dr., Florence, MS 39073 | 2006-12-19 |
| 1841384443 | Kelley N Martin | Nurse Practitioner | 218 East Main Street, Florence, MS 39073 | 2006-10-03 |
| 1851484422 | Derek Wade Puckett | Physical Therapist | 3000 Hwy 49 South, Florence, MS 39073 | 2006-10-02 |
| 1508961947 | Polks Discount Drugs #2 | Pharmacy | 101 49 Place, Florence, MS 39073 | 2006-09-13 |
| 1669652558 | Martin Health Care, LLC | Family Medicine | 218 East Main St, Florence, MS 39073-0530 | 2007-11-07 |
| 1316073307 | Norma M Raymond | Pharmacist | 106 Raymond Gdn, Florence, MS 39073-4402 | 2007-02-26 |
| 1942840996 | Cocetha Belton | Nurse Practitioner | 201 Copper Ridge Way, Florence, MS 39073-4601 | 2020-01-07 |
| Find all providers in zip 39073 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962530 | Nathan Bryant | Non-emergency Medical Transport (VAN) | 519b W Darlington St, Florence, SC 29501-2413 | 2020-11-05 |
| 1891305389 | Leaf Transporation Company | Non-emergency Medical Transport (VAN) | 2724 Boardwalk, Florence, SC 29505-6651 | 2020-08-09 |
| 1043835663 | Candace Stewart | Non-emergency Medical Transport (VAN) | 903 S Santiago Dr Unit F, Florence, SC 29501-6048 | 2020-06-09 |
| 1922631977 | Urban Transportation,llc | Non-emergency Medical Transport (VAN) | 116 S Aiken Dr Apt 4a, Florence, SC 29501-4100 | 2020-02-18 |
| 1407495963 | Derrick Campbell Dba Derrions Transportation | Non-emergency Medical Transport (VAN) | 237 Laurel Ln Lot 2, Florence, SC 29506-7106 | 2020-01-02 |
| 1558826974 | Greater Cincinnati Transportation | Non-emergency Medical Transport (VAN) | 75 Cavalier Blvd Ste 320, Florence, KY 41042-3964 | 2019-02-11 |
| 1316440829 | Joy Grimes Walker | Non-emergency Medical Transport (VAN) | 2975 Bridle Cir, Florence, SC 29505-7026 | 2018-03-10 |
| 1659664316 | Charles Spears II | Non-emergency Medical Transport (VAN) | 623 Garden Hills Dr, Florence, SC 29505-3940 | 2011-05-26 |
| 1487965257 | Wheelchair Transportation and Taxi Cab Services, LLC | Non-emergency Medical Transport (VAN) | 104 Victoria Ct, Florence, AL 35630-6622 | 2010-06-28 |
| 1518295740 | Eric Justin Cannon | Non-emergency Medical Transport (VAN) | 632 King Ave, Florence, SC 29501-4331 | 2009-11-30 |
| Find all providers in FLORENCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.