Provider Demographics
NPI:1962022889
Name:ESSENTIAL HEALTHCARE & SUPPLIES INC
Entity Type:Organization
Organization Name:ESSENTIAL HEALTHCARE & SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:CHISARA
Authorized Official - Last Name:EMEREM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-733-8770
Mailing Address - Street 1:4538 VALEVIEW LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-4442
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3557 N SHARON AMITY RD STE 100-102
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-8849
Practice Address - Country:US
Practice Address - Phone:704-733-8770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-21
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC4852OtherNORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES