MEDICARE: EMAHGO DEI

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	374U00000X	Home Health Aide
2	172V00000X	Community Health Worker
3	372600000X	Adult Companion
4	171W00000X	Contractor

General Provider Information

NPI Number	:	1740654144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMAHGO DEI

Provider Business Mailing Address
First Line	:	711 LODGE AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43609-2915
Country	:	US
Telephone Number	:	419-360-5562
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 LODGE AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43609-2915
Country	:	US
Telephone Number	:	419-360-5562
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2015
Last Update Date	:	02/12/2026

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Directions to “ EMAHGO DEI ” Practice Location

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