Provider Demographics
NPI:1659737187
Name:ESSENTIAL CARE, LLC
Entity Type:Organization
Organization Name:ESSENTIAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:THUSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-915-0001
Mailing Address - Street 1:1314 NW 47TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-4632
Mailing Address - Country:US
Mailing Address - Phone:913-915-0001
Mailing Address - Fax:
Practice Address - Street 1:1317 E 12TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64106-3233
Practice Address - Country:US
Practice Address - Phone:913-915-0001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-13
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOL1467573760251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care