Provider Demographics
NPI:1760788525
Name:ESSENTIA HEALTHCARE, INC.
Entity Type:Organization
Organization Name:ESSENTIA HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REMI
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-875-8763
Mailing Address - Street 1:7019 GRANTS HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3830
Mailing Address - Country:US
Mailing Address - Phone:832-875-8763
Mailing Address - Fax:832-369-7266
Practice Address - Street 1:7019 GRANTS HOLLOW LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3830
Practice Address - Country:US
Practice Address - Phone:832-875-8763
Practice Address - Fax:832-369-7266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0801356487251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health