MEDICARE: EMERALD HOPE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1730024142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERALD HOPE LLC

Provider Business Mailing Address
First Line	:	1117 PAWNEE DR NW
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52405-2324
Country	:	US
Telephone Number	:	602-768-9681
Fax Number	:

Provider Business Practice Location Address
First Line	:	1117 PAWNEE DR NW
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52405-2324
Country	:	US
Telephone Number	:	602-768-9681
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	VANCEY MORAA MAYAKA
Credential	:	NURSE
Telephone Number	:	602-768-9681

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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Directions to “EMERALD HOPE LLC ” Practice Location

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