Provider Demographics
NPI:1104450840
Name:ESTEEM HOME HEALTH SERVICES
Entity type:Organization
Organization Name:ESTEEM HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:WHEAGAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-230-1286
Mailing Address - Street 1:6248 LAKELAND AVE N STE 208
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55428-2989
Mailing Address - Country:US
Mailing Address - Phone:848-230-1286
Mailing Address - Fax:763-592-7932
Practice Address - Street 1:6324 SCOTT AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55429-2070
Practice Address - Country:US
Practice Address - Phone:848-230-1286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility