# EMERALD CARE IN

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

## Provider details

- **NPI number:** 1982578902
- **Authorized official:** ALEX HENDERSON (OWNER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (812) 850-0619

## Contact information

- **Practice address:** 202 E MAPLE ST, JEFFERSONVILLE, IN 47130-3420
- **Practice address phone:** (812) 850-0619
- **Practice address fax:** (317) 458-1794
- **Mailing address:** 407 MALCOLM DR, WESTMINSTER, MD 21157-6107
- **Mailing address phone:** (812) 850-0619
- **Mailing address fax:** (317) 458-1794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2025
- **Last updated:** 10/03/2025