Provider Demographics
NPI:1053478776
Name:ESSENCE HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:ESSENCE HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:O
Authorized Official - Last Name:PAULS
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:713-272-7476
Mailing Address - Street 1:10101 BISSONNET ST
Mailing Address - Street 2:SUITE #175
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036
Mailing Address - Country:US
Mailing Address - Phone:713-272-7476
Mailing Address - Fax:713-779-7073
Practice Address - Street 1:10101 BISSONNET ST
Practice Address - Street 2:SUITE 175
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034
Practice Address - Country:US
Practice Address - Phone:713-272-7476
Practice Address - Fax:713-779-7073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX593199163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX453100Medicare ID - Type Unspecified