Provider Demographics
NPI:1003641994
Name:ESSENTIALCARE DME LLC
Entity type:Organization
Organization Name:ESSENTIALCARE DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AYAZ
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:SYED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-837-2705
Mailing Address - Street 1:3930 S OLD HIGHWAY 94 STE 103
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-2836
Mailing Address - Country:US
Mailing Address - Phone:636-673-5313
Mailing Address - Fax:636-333-4033
Practice Address - Street 1:3930 S OLD HIGHWAY 94 STE 103
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63304-2836
Practice Address - Country:US
Practice Address - Phone:636-673-5313
Practice Address - Fax:636-333-4033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-03
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies