OrganizationActive
Emerald Lake, Inc
NPI 1578605341 · Oxygen Equipment & Supplies (DME) · Las Vegas, NV
Emerald Lake, Inc is a Oxygen Equipment & Supplies (DME) organization in Las Vegas, NV (NPI 1578605341).
Provider details
- NPI number
- 1578605341
- Entity type
- Organization
- Primary specialty
- Oxygen Equipment & Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Kelechi Agwara, Director(702) 678-6267
- License
- MP00814 (NV)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5243 W Charleston Blvd Ste 9
Las Vegas, NV 89146-1304
Phone: (702) 678-6267
Fax: (702) 474-7051
Street-level locationGet directions
Mailing address
5243 W Charleston Blvd Ste 9
Las Vegas, NV 89146-1304
Other names (DBA / former)
- Doing business as
- Emerald Medical Supplies
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2015-12-03
Frequently asked questions
- What is Emerald Lake, Inc's NPI number?
- Emerald Lake, Inc's National Provider Identifier (NPI) is 1578605341, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Emerald Lake, Inc?
- Emerald Lake, Inc is classified in the NPPES registry as Oxygen Equipment & Supplies (DME) (Suppliers).
- Where is Emerald Lake, Inc located?
- Emerald Lake, Inc's practice location on file with NPPES is 5243 W Charleston Blvd Ste 9, Las Vegas, NV 89146-1304.
- What is Emerald Lake, Inc's phone number?
- The practice phone number listed in the NPPES registry for Emerald Lake, Inc is (702) 678-6267.
- Who is the authorized official for Emerald Lake, Inc?
- The authorized official listed on Emerald Lake, Inc's NPPES record is Kelechi Agwara, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Emerald Lake, Inc's NPI active?
- Yes — Emerald Lake, Inc's NPI (1578605341) is active in the NPPES registry as of the last update on 2015-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.