Provider Demographics
NPI:1760671259
Name:ESSENCE OF CARE LLC
Entity Type:Organization
Organization Name:ESSENCE OF CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:DION
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-772-6946
Mailing Address - Street 1:1400 BATTLEGROUND AVE
Mailing Address - Street 2:SUITE 134A
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-8042
Mailing Address - Country:US
Mailing Address - Phone:336-772-6946
Mailing Address - Fax:
Practice Address - Street 1:1400 BATTLEGROUND AVE
Practice Address - Street 2:SUITE 134A
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-8042
Practice Address - Country:US
Practice Address - Phone:336-772-6946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management