Provider Demographics
NPI:1427558006
Name:ESSENTIAL HOME HEALTHCARE INC
Entity Type:Organization
Organization Name:ESSENTIAL HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KENA
Authorized Official - Middle Name:ALSTON
Authorized Official - Last Name:DICKENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-309-4934
Mailing Address - Street 1:PO BOX 64205
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23467-4205
Mailing Address - Country:US
Mailing Address - Phone:757-309-4934
Mailing Address - Fax:757-309-4993
Practice Address - Street 1:810 KEMPSVILLE RD STE 6
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-2723
Practice Address - Country:US
Practice Address - Phone:757-309-4934
Practice Address - Fax:757-309-4993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health