Healthcare Provider Details

I. General information

NPI: 1730024142
Provider Name (Legal Business Name): EMERALD HOPE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1117 PAWNEE DR NW
CEDAR RAPIDS IA
52405-2324
US

IV. Provider business mailing address

1117 PAWNEE DR NW
CEDAR RAPIDS IA
52405-2324
US

V. Phone/Fax

Practice location:
  • Phone: 602-768-9681
  • Fax:
Mailing address:
  • Phone: 602-768-9681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: VANCEY MORAA MAYAKA
Title or Position: MANAGER
Credential: NURSE
Phone: 602-768-9681