Provider Demographics
NPI:1801966841
Name:ESSENTIAL HOME HEALTH CARE AGENCY INC
Entity type:Organization
Organization Name:ESSENTIAL HOME HEALTH CARE AGENCY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:512-326-4191
Mailing Address - Street 1:912 S CAPITAL OF TEXAS HWY
Mailing Address - Street 2:SUITE 350
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5242
Mailing Address - Country:US
Mailing Address - Phone:512-326-4191
Mailing Address - Fax:512-326-4519
Practice Address - Street 1:912 S CAPITAL OF TEXAS HWY
Practice Address - Street 2:SUITE 350
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5242
Practice Address - Country:US
Practice Address - Phone:512-326-4191
Practice Address - Fax:512-326-4519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX004249251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH160HOtherBCBS PROVIDER NUMBER
TXHH160HOtherBCBS PROVIDER NUMBER