Provider Demographics
NPI:1306126339
Name:HEALTHESSENTIALS, LLC
Entity type:Organization
Organization Name:HEALTHESSENTIALS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SLAGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-586-6050
Mailing Address - Street 1:560 E HOSPITALITY LN STE 300
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-3597
Mailing Address - Country:US
Mailing Address - Phone:951-823-8438
Mailing Address - Fax:951-225-4593
Practice Address - Street 1:560 E HOSPITALITY LN STE 300
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408
Practice Address - Country:US
Practice Address - Phone:951-823-8428
Practice Address - Fax:951-225-4593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-22
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based