Provider Demographics
NPI:1295299238
Name:ESSENTIAL HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:ESSENTIAL HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROLDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-656-9645
Mailing Address - Street 1:12869 CAPRICORN ST
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3915
Mailing Address - Country:US
Mailing Address - Phone:832-656-9645
Mailing Address - Fax:281-980-3255
Practice Address - Street 1:12869 CAPRICORN ST
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3915
Practice Address - Country:US
Practice Address - Phone:832-656-9645
Practice Address - Fax:281-980-3255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care