Provider Demographics
NPI:1164895249
Name:ESSENTIAL HOME HEALTHCARE, INC
Entity Type:Organization
Organization Name:ESSENTIAL HOME HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGELES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-813-6301
Mailing Address - Street 1:2644 DEMPSTER ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-8411
Mailing Address - Country:US
Mailing Address - Phone:847-813-6301
Mailing Address - Fax:847-813-6612
Practice Address - Street 1:2644 DEMPSTER ST STE 202
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-8431
Practice Address - Country:US
Practice Address - Phone:847-813-6301
Practice Address - Fax:847-813-6612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-11
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163WI0500X
ILHF107855251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty