Provider Demographics
NPI:1801782917
Name:EMMANUEL PHC SERVICES LLC
Entity type:Organization
Organization Name:EMMANUEL PHC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR /OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:ENRIQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-702-8144
Mailing Address - Street 1:EMMANUEL PHC SERVICES LLC
Mailing Address - Street 2:542 MONTELL DR
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79927
Mailing Address - Country:US
Mailing Address - Phone:915-500-1024
Mailing Address - Fax:915-500-1024
Practice Address - Street 1:EMMANUEL PHC SERVICES LLC
Practice Address - Street 2:542 MONTELL DR
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79927
Practice Address - Country:US
Practice Address - Phone:915-500-1024
Practice Address - Fax:915-500-1024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty