Provider Demographics
NPI:1346707130
Name:ESSENTIAL HOSPICE INC
Entity Type:Organization
Organization Name:ESSENTIAL HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-213-7600
Mailing Address - Street 1:1300 N SKOKIE HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-2138
Mailing Address - Country:US
Mailing Address - Phone:224-213-7600
Mailing Address - Fax:847-559-1699
Practice Address - Street 1:1300 N SKOKIE HWY STE 100
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-2138
Practice Address - Country:US
Practice Address - Phone:224-213-7600
Practice Address - Fax:847-559-1699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based