Provider Demographics
NPI:1114222841
Name:ESSENTIAL CARE PARTNERS LLC
Entity Type:Organization
Organization Name:ESSENTIAL CARE PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JIBRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:6144-844-4774
Mailing Address - Street 1:700 MORSE RD
Mailing Address - Street 2:STE 101
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1879
Mailing Address - Country:US
Mailing Address - Phone:614-844-4774
Mailing Address - Fax:614-448-4395
Practice Address - Street 1:700 MORSE RD
Practice Address - Street 2:STE 101
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-1879
Practice Address - Country:US
Practice Address - Phone:614-844-4774
Practice Address - Fax:614-448-4395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2014-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health