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EMMANUEL RESIDENTIAL SERVICES
NPI 1245509504
Assisted Living Facility in Longview, TX

Active since December 15, 2011
1328 HERITAGE BLVD STE 5, LONGVIEW, TX 75605(903) 260-0412 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2026, Mar 29, 2021 (2 updates tracked since 2021).

About Emmanuel Residential Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMANUEL RESIDENTIAL SERVICES (NPI 1245509504) is a healthcare organization registered as an assisted living facility in Longview, Texas and active in the NPI registry since December 2011. The organization lists La Tonya S Polk, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1245509504
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEMMANUEL RESIDENTIAL SERVICES
Location Address1328 HERITAGE BLVD STE 5Longview, TX 75605-1472
Mailing Address1328 Heritage Blvd Ste 5Longview, TX 75605-1472 · (903) 260-0412
Phone(903) 260-0412
Organization SubpartNo
Authorized OfficialLa Tonya S PolkProgram Manager · (903) 315-8302
Enumeration DateDecember 15, 2011
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1245509504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Also ListedContractorTaxonomy 171W00000X
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X
1328 HERITAGE BLVD STE 5, Longview, TX 75605
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Other Identifiers 1

Medicaid1245509504TX

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmanuel Residential Services's NPI number?

The NPI number for Emmanuel Residential Services is 1245509504. It was assigned to this organization in the NPPES registry on December 15, 2011.

Where is Emmanuel Residential Services located?

Emmanuel Residential Services is located at 1328 Heritage Blvd Ste 5, Longview, TX 75605. The listed phone number is (903) 260-0412.

What is Emmanuel Residential Services's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Emmanuel Residential Services was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.