MEDICARE: EMMA HAVEN INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	385H00000X	Respite Care
2	174H00000X	Health Educator
3	175T00000X	Peer Specialist
4	253J00000X	Foster Care Agency

General Provider Information

NPI Number	:	1982401451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMMA HAVEN INC

Provider Business Mailing Address
First Line	:	120 E HUDSON ST
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-2135
Country	:	US
Telephone Number	:	516-234-3303
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 E HUDSON ST
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-2135
Country	:	US
Telephone Number	:	516-234-3303
Fax Number	:

Authorized Official
Title or Position	:	CO FOUNDER
Name	:	NATALIE MILLER
Credential	:
Telephone Number	:	516-234-3303

Provider Enumeration Date	:	03/03/2025
Last Update Date	:	03/03/2025

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Directions to “EMMA HAVEN INC ” Practice Location

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