# EMANNUEL CARE HOME HEALTH AGENCY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Emannuel Care Home HEalth
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851699813
- **Authorized official:** MS. MILIAKERE TAWAKE (MEMBER/ADMINISTRATOR)
- **Authorized official phone:** (510) 885-1926

## Contact information

- **Practice address:** 22245 MAIN ST, SUITE\# 104, HAYWARD, CA 94541-4028
- **Practice address phone:** (510) 885-1926
- **Practice address fax:** (510) 886-8418
- **Mailing address:** 22245 MAIN ST, SUITE\# 104, HAYWARD, CA 94541-4028
- **Mailing address phone:** (510) 885-1926
- **Mailing address fax:** (510) 886-8418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 550001874 | CA | Yes |

## Other

- **Enumeration date:** 03/01/2011
- **Last updated:** 07/30/2013