Provider Demographics
NPI:1245817618
Name:ESSENTIALLY PREFERRED HOME CARE SERVICES
Entity type:Organization
Organization Name:ESSENTIALLY PREFERRED HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRISSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-438-1660
Mailing Address - Street 1:1 CHICK SPRINGS RD STE 313A
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-4984
Mailing Address - Country:US
Mailing Address - Phone:864-438-1660
Mailing Address - Fax:864-751-4219
Practice Address - Street 1:1 CHICK SPRINGS RD STE 313A
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-4984
Practice Address - Country:US
Practice Address - Phone:864-438-1660
Practice Address - Fax:864-751-4219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies