MEDICARE: EMERALD CARE HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	376J00000X	Homemaker
3	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1780548792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERALD CARE HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	116 GRANVILLE ST STE 200
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-3044
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 GRANVILLE ST STE 200
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-3044
Country	:	US
Telephone Number	:	220-238-9267
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DEEQA MOHAMUD
Credential	:
Telephone Number	:	220-238-9267

Provider Enumeration Date	:	12/13/2025
Last Update Date	:	12/13/2025

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