Healthcare Provider Details

I. General information

NPI: 1831349364
Provider Name (Legal Business Name): EMERALD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2008
Last Update Date: 09/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2552 POPLAR AVE STE 406
MEMPHIS TN
38112-3834
US

IV. Provider business mailing address

2552 POPLAR AVE STE 406
MEMPHIS TN
38112-3834
US

V. Phone/Fax

Practice location:
  • Phone: 901-324-0737
  • Fax: 901-324-0738
Mailing address:
  • Phone: 901-324-0737
  • Fax: 901-324-0738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: MS. FELICIA T DILLON
Title or Position: CEO
Credential:
Phone: 901-324-0737