Provider Demographics
NPI:1215233614
Name:ESSENTIAL CARE SERVICES
Entity type:Organization
Organization Name:ESSENTIAL CARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDIKHAYR
Authorized Official - Middle Name:
Authorized Official - Last Name:SOOFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-439-3034
Mailing Address - Street 1:700 MORSE RD
Mailing Address - Street 2:STE 101
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1879
Mailing Address - Country:US
Mailing Address - Phone:614-439-3034
Mailing Address - Fax:614-448-4395
Practice Address - Street 1:700 MORSE RD
Practice Address - Street 2:STE 101
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-1879
Practice Address - Country:US
Practice Address - Phone:614-439-3034
Practice Address - Fax:614-448-4395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1993855OtherSOS