# EMERALD CARES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EMERALD CARES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154083905
- **Authorized official:** MS. TEHTEE KOU PAYE RN, BSN (CEO)
- **Authorized official phone:** (678) 683-5125

## Contact information

- **Practice address:** 15 21ST ST S STE 102, FARGO, ND 58103-1435
- **Practice address phone:** (701) 347-1516
- **Practice address fax:** (701) 540-0421
- **Mailing address:** 4955 17TH AVE S APT 224, FARGO, ND 58103-3571
- **Mailing address phone:** (678) 683-5125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/08/2021
- **Last updated:** 02/23/2024