Provider Demographics
NPI:1609528082
Name:ESSIE HOME CARE LLC
Entity Type:Organization
Organization Name:ESSIE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:VESCHELLEY
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:PHELPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-377-4312
Mailing Address - Street 1:8721 COLERAIN AVE # 531621
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-2917
Mailing Address - Country:US
Mailing Address - Phone:833-377-4312
Mailing Address - Fax:
Practice Address - Street 1:1017 W NORTH BEND RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-2210
Practice Address - Country:US
Practice Address - Phone:513-512-0573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care