Provider Demographics
NPI:1730347246
Name:EMERGENT HOMEHEALTH SERVICES INC
Entity type:Organization
Organization Name:EMERGENT HOMEHEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:NONYELUM
Authorized Official - Last Name:ARUM
Authorized Official - Suffix:
Authorized Official - Credentials:BACHERLOR OF ENGR
Authorized Official - Phone:972-941-6914
Mailing Address - Street 1:2717 KERNVILLE DR
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-5904
Mailing Address - Country:US
Mailing Address - Phone:972-941-6914
Mailing Address - Fax:
Practice Address - Street 1:2717 KERNVILLE DR
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-5904
Practice Address - Country:US
Practice Address - Phone:972-941-6914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health