Provider Demographics
NPI:1740067016
Name:ESSENTIAL HEALTH SYSTEMS
Entity type:Organization
Organization Name:ESSENTIAL HEALTH SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAHIMAH
Authorized Official - Middle Name:B
Authorized Official - Last Name:RAYEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-216-6680
Mailing Address - Street 1:20905 GREENFIELD RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-5346
Mailing Address - Country:US
Mailing Address - Phone:248-327-7212
Mailing Address - Fax:248-728-4195
Practice Address - Street 1:20905 GREENFIELD RD STE 200
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5346
Practice Address - Country:US
Practice Address - Phone:248-327-7212
Practice Address - Fax:248-728-4195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain