Provider Demographics
NPI:1356651343
Name:ESSENTIAL HOME HEALTH CARE AGENCY, INC.
Entity Type:Organization
Organization Name:ESSENTIAL HOME HEALTH CARE AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:F
Authorized Official - Last Name:ESCOTE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:734-455-5688
Mailing Address - Street 1:44968 FORD RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-5085
Mailing Address - Country:US
Mailing Address - Phone:734-455-5688
Mailing Address - Fax:
Practice Address - Street 1:44968 FORD RD
Practice Address - Street 2:SUITE A
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-5085
Practice Address - Country:US
Practice Address - Phone:734-455-5688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-08
Last Update Date:2010-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health