Provider Demographics
NPI:1992388870
Name:ESCR HEALTHCARE MANAGEMENT, LLC
Entity Type:Organization
Organization Name:ESCR HEALTHCARE MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KENT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHESLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-293-8686
Mailing Address - Street 1:1212 STARLIT DR
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-3035
Mailing Address - Country:US
Mailing Address - Phone:310-558-8367
Mailing Address - Fax:
Practice Address - Street 1:1212 STARLIT DR
Practice Address - Street 2:
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-3035
Practice Address - Country:US
Practice Address - Phone:310-558-8367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based