Provider Demographics
NPI:1982637070
Name:HEALTHCARE ESSENTIALS, LLC
Entity Type:Organization
Organization Name:HEALTHCARE ESSENTIALS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSTE
Authorized Official - Middle Name:SHELBY
Authorized Official - Last Name:VIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:731-343-2730
Mailing Address - Street 1:77 HIGHWAY 51 S
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:TN
Mailing Address - Zip Code:38063-4580
Mailing Address - Country:US
Mailing Address - Phone:731-221-3373
Mailing Address - Fax:731-221-3073
Practice Address - Street 1:77 HIGHWAY 51 S
Practice Address - Street 2:
Practice Address - City:RIPLEY
Practice Address - State:TN
Practice Address - Zip Code:38063-4580
Practice Address - Country:US
Practice Address - Phone:731-221-3373
Practice Address - Fax:731-221-3073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTNPL548892332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies