Provider Demographics
NPI:1528415494
Name:ESSENCE HOME CARE LLC
Entity Type:Organization
Organization Name:ESSENCE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:949-723-0585
Mailing Address - Street 1:32 EXECUTIVE PARK STE 150
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-4722
Mailing Address - Country:US
Mailing Address - Phone:949-723-0585
Mailing Address - Fax:949-356-7224
Practice Address - Street 1:32 EXECUTIVE PARK STE 150
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-4722
Practice Address - Country:US
Practice Address - Phone:949-723-0585
Practice Address - Fax:949-356-7224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-19
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550002714251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based