Provider Demographics
NPI:1568606192
Name:ESSENTIAL CARE HOME HEALTH INC
Entity Type:Organization
Organization Name:ESSENTIAL CARE HOME HEALTH INC
Other - Org Name:ESSENTIAL CARE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:6029-999-4820
Mailing Address - Street 1:4340 E INDIAN SCHOOL RD
Mailing Address - Street 2:STE 21-294
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-5360
Mailing Address - Country:US
Mailing Address - Phone:602-999-9480
Mailing Address - Fax:
Practice Address - Street 1:15410 N 67TH AVE
Practice Address - Street 2:SUITE 9
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-2817
Practice Address - Country:US
Practice Address - Phone:602-999-9480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health