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EMERALD MEDICAL SUPPLIES
NPI 1578605341
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Las Vegas, NV

Active since February 12, 2007
5243 W CHARLESTON BLVD STE 9, LAS VEGAS, NV 89146(702) 678-6267(702) 474-7051 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emerald Medical Supplies NPPES

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

EMERALD MEDICAL SUPPLIES (NPI 1578605341) is a healthcare organization registered as an oxygen equipment & supplies in Las Vegas, Nevada and active in the NPI registry since February 2007. The organization lists Kelechi Agwara, Director, as its authorized official.

NPPES Registry Identity

NPI1578605341
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameEMERALD LAKE, INC
Location Address5243 W CHARLESTON BLVD STE 9Las Vegas, NV 89146-1304
Mailing Address5243 W Charleston Blvd Ste 9Las Vegas, NV 89146-1304 · (702) 678-6267 · Fax (702) 474-7051
Phone(702) 678-6267
Fax(702) 474-7051
Organization SubpartNo
Authorized OfficialKelechi AgwaraDirector · (702) 678-6267
Enumeration DateFebruary 12, 2007
Last NPPES UpdateDecember 3, 2015
✔ NPI 1578605341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesSuppliers
Taxonomy Code332BX2000X
License✔ Licensed in NV · MP00814
5243 W CHARLESTON BLVD STE 9, Las Vegas, NV 89146
Open in Google Maps ↗

Other Names 1

Doing Business AsEmerald Medical Supplies

Other Identifiers 2

Medicare ID-Type Unspecified4265280001Medicare Prov Id #
Medicaid3302694NV

Medical Equipment Supplier Medicare DMEPOS 27

Medicare supplier enrollment and the product categories Emerald Medical Supplies carries, from the Medicare DMEPOS supplier directory.

Emerald Medical Supplies

DMEPOS supplier · Las Vegas, NVOperated by Emerald Lake, Inc
✔

Accepts Medicare assignment

Emerald Medical Supplies agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20602097
Medicare Participant SinceJanuary 1, 2003
Supplier Location5650 W Charleston Blvd Ste 13Las Vegas, NV 89146
Phone(702) 678-6267
Supplier Specialties
Medical Supply Company Other Orthotic Personnel

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Hospital Beds (Electric)
Total electric hospital beds, Semi-electric hospital beds
Hospital Beds (Manual)
Fixed height hospital beds, Variable height hospital beds
Support Surfaces: Pressure Reducing Beds/Mats/Pads
Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROTHERS PHARMACY, LLC
Pharmacy (Community/Retail Pharmacy)
5243 W CHARLESTON BLVD STE 9
LAS VEGAS, NV 89146
Clark County (702) 678-6267

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 Emerald Lake, Inc's NPI number?

The NPI number for Emerald Lake, Inc is 1578605341. It was assigned to this organization in the NPPES registry on February 12, 2007. The provider is doing business as Emerald Medical Supplies.

Where is Emerald Lake, Inc located?

Emerald Lake, Inc is located at 5243 W Charleston Blvd Ste 9, Las Vegas, NV 89146. The listed phone number is (702) 678-6267.

What is Emerald Lake, Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

Does Emerald Lake, Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Emerald Medical Supplies accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Emerald Lake, Inc was last updated on December 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.