EMMANUEL LIVING AND ACTIVITY CENTERS, LLC (NPI# 1235746272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235746272 |
| Entity Type | Organization |
| Organization Name | EMMANUEL LIVING AND ACTIVITY CENTERS, LLC |
| Practice Address |
205 E Us Highway 80 White Oak TX 75693-2103 |
| Mailing Address |
Po Box 8664 Longview TX 75607-8664 |
| Practice Telephone | 9033158302 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | TONY POLK (MEMBER) |
| Authorized Official Telephone | 9033158302 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 807 S Mobberly Ave, Longview, TX 756022037 | 9033158302 |
| Street Address |
205 E US HIGHWAY 80 |
| City | WHITE OAK |
| State | TX |
| Zip Code | 75693-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861551814 | Latonya Polk | Home Health | 205 E Us Highway 80, White Oak, TX 75693-2103 | 2006-12-06 |
| 1093179145 | Abiding Residential Services | Assisted Living Facility | 205 E Us Highway 80, White Oak, TX 75693-2103 | 2016-04-05 |
| 1245509504 | Emmanuel Residential Services | Assisted Living Facility | 205 E Us Highway 80, White Oak, TX 75693-2103 | 2011-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073621884 | John Keith Pannell | Dentist | 601 S White Oak Rd, White Oak, TX 75693 | 2006-08-29 |
| 1194326751 | Sommer Nicole Toler | Registered Nurse | 310 Ferndale St, White Oak, TX 75693-1130 | 2020-11-02 |
| 1588164305 | Susan Jean Mcfarland | Respiratory Therapist, Certified | 104 N Stewart St Unit H, White Oak, TX 75693-1226 | 2018-02-19 |
| 1952627168 | Carmalita Denise Hogan | Case Management | 104 N Stewart St, Apt #f, White Oak, TX 75693-1226 | 2010-04-13 |
| 1073826236 | Angela Gail Odom | Speech-Language Pathologist | 413 N Sherwood Dr, White Oak, TX 75693-1339 | 2010-07-16 |
| 1124362827 | Planet Rehab Therapy Services, Pllc | Occupational Therapist | 413 N Sherwood Dr, White Oak, TX 75693-1339 | 2012-11-19 |
| 1366794992 | Planet Rehab Therapy Solutions, Pllc | Speech-Language Pathologist | 413 N Sherwood Dr, White Oak, TX 75693-1339 | 2012-10-05 |
| 1558985010 | Michaela Martinez | Registered Nurse | 409 E Forest Dr, White Oak, TX 75693-1363 | 2020-06-01 |
| 1407940059 | Willand, Inc | Day Training, Developmentally Disabled Services | 907 S White Oak Rd, White Oak, TX 75693-1429 | 2006-10-03 |
| 1679600803 | Marlo Hood | Social Worker | 201 S Stewart St, White Oak, TX 75693-1515 | 2007-02-27 |
| Find all providers in zip 75693 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
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| 1922609361 | Second Baptist Church | Clinic/Center | 3310 E Commerce St, San Antonio, TX 78220-1220 | 2020-11-03 |
| 1225637127 | Claudia E Cavazos | Clinic/Center | 1209 E Fm 495 Ste 123, San Juan, TX 78589-4863 | 2020-10-21 |
| 1376150847 | Siempre Unidos Adult Day Care, LLC | Clinic/Center | 6600 N Val Verde Rd Ste F, Donna, TX 78537-3833 | 2020-09-28 |
| 1215541230 | Angeles Adult Day Care, LLC | Clinic/Center | 4100 W 3 Mile Rd, Suite 12, Mission, TX 78574-6177 | 2020-09-08 |
| 1023626868 | Givens Some Love Day Habilitation Center | Clinic/Center | 301 Sth 7th Street, Mabank, TX 75147 | 2020-07-17 |
| 1154939189 | Friends Place Adult Day Services | Clinic/Center | 1960 Nantucket Dr, Richardson, TX 75080-3354 | 2020-07-15 |
| 1033727060 | Friends Place Southwest LLC | Clinic/Center | 1232 W Belt Line Rd, Desoto, TX 75115-3738 | 2020-07-15 |
| 1922625243 | Teri Lynn Roberts | Clinic/Center | 13328 1/2 Almeda Rd, Houston, TX 77045-6628 | 2020-07-02 |
| 1730706326 | Bellaire Adult Day Care LLC | Clinic/Center | 7403 S Kirkwood Rd, Houston, TX 77072-3301 | 2020-06-29 |
| 1356966220 | Jalba Investments LLC | Clinic/Center | 604 E Ramon Ayala Dr, Hidalgo, TX 78557-2627 | 2020-06-16 |
| Find all providers with the same taxonomy | ||||
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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.