Provider Demographics
NPI:1558195792
Name:EMBRACE HOMES LLC
Entity type:Organization
Organization Name:EMBRACE HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIBAN
Authorized Official - Middle Name:LENCHO
Authorized Official - Last Name:BATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-987-2077
Mailing Address - Street 1:124 FALCON DR
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-5798
Mailing Address - Country:US
Mailing Address - Phone:612-987-2077
Mailing Address - Fax:
Practice Address - Street 1:124 FALCON DR
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-5798
Practice Address - Country:US
Practice Address - Phone:612-987-2077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMBRACE HOMES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency