Provider Demographics
NPI:1669291589
Name:UNITED ESSENTIAL LIVING SPECIALISTS
Entity type:Organization
Organization Name:UNITED ESSENTIAL LIVING SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NADINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PINK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:757-806-8382
Mailing Address - Street 1:8050 RUTLAND VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-2971
Mailing Address - Country:US
Mailing Address - Phone:757-806-8382
Mailing Address - Fax:
Practice Address - Street 1:8050 RUTLAND VILLAGE DR
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-2971
Practice Address - Country:US
Practice Address - Phone:757-806-8382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care