Provider Demographics
NPI:1770920514
Name:ESSENCE OF CARE INC
Entity type:Organization
Organization Name:ESSENCE OF CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:COSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-975-4680
Mailing Address - Street 1:5405 MEMORIAL DR
Mailing Address - Street 2:G & H
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-3234
Mailing Address - Country:US
Mailing Address - Phone:404-975-4680
Mailing Address - Fax:
Practice Address - Street 1:5405 MEMORIAL DR
Practice Address - Street 2:SUITE G&H
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083
Practice Address - Country:US
Practice Address - Phone:404-975-4680
Practice Address - Fax:404-592-6438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003120945AMedicaid