Provider Demographics
NPI:1396549960
Name:ESSOMID HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:ESSOMID HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOO
Authorized Official - Prefix:
Authorized Official - First Name:ABDOU
Authorized Official - Middle Name:RAZACK
Authorized Official - Last Name:KARAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-300-5670
Mailing Address - Street 1:4507 WYNDTREE DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-8784
Mailing Address - Country:US
Mailing Address - Phone:513-300-5670
Mailing Address - Fax:513-300-5670
Practice Address - Street 1:4507 WYNDTREE DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-8784
Practice Address - Country:US
Practice Address - Phone:513-300-5670
Practice Address - Fax:513-300-5670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385H00000XRespite Care FacilityRespite Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child