Provider Demographics
NPI:1679808802
Name:ESSENCE OF CARE, INC
Entity Type:Organization
Organization Name:ESSENCE OF CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-772-6946
Mailing Address - Street 1:4399 CANDACE RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-8694
Mailing Address - Country:US
Mailing Address - Phone:336-772-6946
Mailing Address - Fax:336-272-3088
Practice Address - Street 1:3719 LATROBE DR
Practice Address - Street 2:SUITE 820
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-4861
Practice Address - Country:US
Practice Address - Phone:336-772-6946
Practice Address - Fax:336-272-3088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health