EMMANUEL RIDGE HOME CARE AGENCY INC (NPI# 1528243938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528243938 |
| Entity Type | Organization |
| Organization Name | EMMANUEL RIDGE HOME CARE AGENCY INC |
| Other Organization Name | EMMANUEL RIDGE IN-HOME RESPITE CARE |
| Practice Address |
2073 Highway 49 S Florence MS 39073-9422 |
| Mailing 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 | 385H00000X | Respite Care | 07123515 | MS | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07123515 | 05 |
| Other Name | Type Code |
|---|---|
| Emmanuel Ridge In-Home Respite Care | 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 |
| 1235314634 | Emmanuel Ridge Home Care Agency Inc | Non-emergency Medical Transport (VAN) | 2073 Hwy 49 South, Florence, MS 39073-1944 | 2008-01-03 |
| Street Address |
2073 HIGHWAY 49 S |
| City | FLORENCE |
| State | MS |
| Zip Code | 39073-9422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073524583 | Emmanuel Ridge Comm Phcy | Pharmacy | 2073 Highway 49 S, Florence, MS 39073-9422 | 2006-08-10 |
| 1790960102 | Emmanuel Ridge Home Care Agency Inc | Homemaker | 2073 Highway 49 S, Florence, MS 39073-9422 | 2008-01-03 |
| 1871660852 | Emmanuel Ridge Chiropractic Services | Chiropractor | 2073 Highway 49 S, Suite C, Florence, MS 39073-9422 | 2006-11-29 |
| 1679652754 | Emmanuel Ridge Community Health Clinic | Clinic/Center | 2073 Highway 49 S, Suite A, Florence, MS 39073-9422 | 2006-11-02 |
| 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 |
| 1245415645 | Emmanuel Ridge Community Service Organization | Clinic/Center | 2073 Hwy 49 South, Florence, MS 39073-1944 | 2008-01-03 |
| 1235314634 | Emmanuel Ridge Home Care Agency Inc | Non-emergency Medical Transport (VAN) | 2073 Hwy 49 South, Florence, MS 39073-1944 | 2008-01-03 |
| Find all providers in zip 39073 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605189 | M&r Personal Care Service LLC | Respite Care | 124 Carriage Ln, Florence, MS 39073-6015 | 2020-09-29 |
| 1720432917 | Kayla Hahn | Respite Care | 29 N Main St, Florence, MA 01062-1287 | 2016-04-14 |
| 1932503158 | Clinical Support Options Inc | Respite Care | 29 N Main St, Florence, MA 01062-1287 | 2014-10-17 |
| 1982744272 | Active Sc One, Inc. | Respite Care | 2120 Enterprise Dr, Florence, SC 29501-1104 | 2007-02-07 |
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| 1467050237 | Unified Home & Respite Care, LLC | Respite Care | 317 Highland Blvd Ste G, Natchez, MS 39120-4634 | 2020-10-14 |
| 1124636659 | Graceful Serenity LLC | Respite Care | 1440 Dunn Pease Rd, Raymond, MS 39154-8252 | 2020-07-21 |
| 1194342592 | Tashanda Chamberlin | Respite Care | 100 Hopper Ave, Dekalb, MS 39328 | 2020-07-01 |
| 1801412838 | Ycsc Gulf Coast Ms, LLC | Respite Care | 770 Water St Ste 428, Biloxi, MS 39530-4220 | 2020-06-25 |
| 1215552005 | Demetress Brent | Respite Care | 2941 Sheila Dr, Jackson, MS 39209-6125 | 2020-06-08 |
| 1912531427 | Magnolia Personal Care LLC | Respite Care | 69 Bo Stampley Rd, Fayette, MS 39069-4879 | 2020-02-24 |
| 1750935714 | La Respite, LLC | Respite Care | 701 Bowie Ln, Greenwood, MS 38930-5935 | 2019-07-29 |
| 1851944524 | Tracey Bernard Scurlock Jr. | Respite Care | 3747 Eureka Rd, Batesville, MS 38606-8064 | 2019-07-22 |
| 1295394377 | Divinity Community Living, Inc. | Respite Care | 405 Briarwood Dr Ste 108q, Jackson, MS 39206-3032 | 2019-06-11 |
| 1871062521 | Live, Laugh and Love Homecare Services | Respite Care | 604 Highway 80 W Ste Roffice1, Clinton, MS 39056-4108 | 2018-11-23 |
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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.