Provider Demographics
NPI:1750593299
Name:ESSENCEE CARE HEALTH SERVICES,LLC
Entity type:Organization
Organization Name:ESSENCEE CARE HEALTH SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:DELE
Authorized Official - Last Name:ADAGBON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-554-6389
Mailing Address - Street 1:705 BILL SHAW DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-7529
Mailing Address - Country:US
Mailing Address - Phone:214-554-6389
Mailing Address - Fax:972-288-3500
Practice Address - Street 1:705 BILL SHAW DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-7529
Practice Address - Country:US
Practice Address - Phone:214-554-6389
Practice Address - Fax:972-288-3500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011570251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX743153Medicare Oscar/Certification