# EMERALD HOME HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578245684
- **Authorized official:** JAVON ROGERS (OWNER)
- **Authorized official phone:** (843) 934-5250

## Contact information

- **Practice address:** 8750 RIVERS AVE STE 110, NORTH CHARLESTON, SC 29406-9211
- **Practice address phone:** (843) 934-5250
- **Mailing address:** 127 TUGGLE LN, RIDGEVILLE, SC 29472-8721
- **Mailing address phone:** (843) 934-5250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/07/2023
- **Last updated:** 08/07/2023