Provider Demographics
NPI:1699820233
Name:ESSENTIAL HOME CARE, INC.
Entity Type:Organization
Organization Name:ESSENTIAL HOME CARE, INC.
Other - Org Name:ESSENTIAL HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:L
Authorized Official - Last Name:CASTANEDA CONTRERAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-683-0505
Mailing Address - Street 1:PO BOX 720346
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-0346
Mailing Address - Country:US
Mailing Address - Phone:956-683-0505
Mailing Address - Fax:956-686-9484
Practice Address - Street 1:6112 N 10TH ST STE 1F
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504
Practice Address - Country:US
Practice Address - Phone:956-683-0505
Practice Address - Fax:956-686-9484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 251F00000X, 251J00000X
TX009348251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX201261901Medicaid
457858OtherMEDICARE