Emerald Lake, Inc
Oxygen Equipment & Supplies
5243 W Charleston Blvd Ste 9, Las Vegas
Nevada, 89146-1304
702-678-6267 702-474-7051
Emerald Lake, Inc is a Oxygen Equipment & Supplies in Las Vegas, Nevada. It is located at 5243 W Charleston Blvd Ste 9, Las Vegas and it's customer support contact number is 702-678-6267. The authorized person of Emerald Lake, Inc is Mrs. Kelechi Agwara who is Director of this DME and her contact number is 702-678-6267. Active license number of Emerald Lake, Inc is MP00814 for Oxygen Equipment & Supplies in Nevada.
Emerald Lake, Inc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Emerald Lake, Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Emerald Lake, Inc |
| Type: | Oxygen Equipment & Supplies |
| Location: | 5243 W Charleston Blvd Ste 9, Las Vegas,
Nevada, 89146-1304 |
| Phone: | 702-678-6267 |
| Fax: | 702-474-7051 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Kelechi Agwara |
| Position: | Director |
| Contact Number: | 702-678-6267 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1578605341 |
| NPI Enumeration Date: | 12 Feb, 2007 |
| NPI Last Update On: | 03 Dec, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Emerald Lake, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oxygen Equipment & Supplies | MP00814 | Nevada | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3302694 | Medicaid | Nevada | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5243 W Charleston Blvd Ste 9,
Las Vegas, Nevada |
| Zip: | 89146-1304 |
| Phone Number: | 702-678-6267 |
| Fax Number: | 702-474-7051 |
Patients can reach Emerald Lake, Inc at
5243 W Charleston Blvd Ste 9, Las Vegas, Nevada or can
call on customer care at 702-678-6267.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.