# EMMANUEL IN HOME CARE, LLC

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

## Provider details

- **NPI number:** 1891641312
- **Authorized official:** YAJAIRA VILLARREAL (CEO)
- **Authorized official phone:** (617) 784-7264

## Contact information

- **Practice address:** 63 COOLIDGE AVE, BROCKTON, MA 02302-3353
- **Practice address phone:** (617) 784-4264
- **Practice address fax:** (508) 510-4437
- **Mailing address:** 63 COOLIDGE AVE, BROCKTON, MA 02302-3353
- **Mailing address phone:** (617) 784-7264
- **Mailing address fax:** (508) 510-4437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/06/2026
- **Last updated:** 03/06/2026