Emmanuel Ridge of Louisville Ms Inc
NPI 1497144265ActiveOrganization· PACE Provider Organization· Louisville, MS
PACE Provider Organization in Louisville, Mississippi, registered in NPPES in January 2015. The authorized official on file is Beatrice A. Ezem, RN,CM,CLNC, Ceo.
Overview
| NPI | 1497144265 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 16, 2015 |
| Last updated in NPPES | Jan 16, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| PACE Provider Organization Primary | 251T00000X | 08752218 | MS |
| Registered Nurse, Administrator | 163WA2000X | R815521 | MS |
| In Home Supportive Care | 253Z00000X | 03630719 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|