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Emmanuel Residential Services

Assisted Living Facility in Longview, TX · enumerated 2011 · authorized official La Tonya Polk, Program Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245509504

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Registry record

Entity type Organization (Type 2)
Legal business name Emmanuel Residential Services
Practice address 1328 Heritage Blvd Ste 5, Longview, TX, 75605
Enumeration date Dec 15, 2011
Last updated in NPPES Apr 15, 2026

Taxonomy & classification

171W00000X Contractor Other Service Providers Secondary
251C00000X Developmentally Disabled Services Day Training Agency Agencies Secondary
261QA0600X Adult Day Care Clinic/Center Ambulatory Health Care Facilities Secondary
310400000X Assisted Living Facility Nursing & Custodial Care Facilities Primary
320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities Secondary

Authorized official

Name La Tonya Polk
Title Program Manager

Other identifiers

Identifier Type State Issuer
1245509504 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Emmanuel Residential Services?
The NPI for Emmanuel Residential Services is 1245509504, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Emmanuel Residential Services?
NPPES lists La Tonya Polk (Program Manager) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-15.