Provider Demographics
NPI:1386278026
Name:ESSENTIAL CARE SERVICES, LLC
Entity type:Organization
Organization Name:ESSENTIAL CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:INA
Authorized Official - Middle Name:
Authorized Official - Last Name:WINSLOW-LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-521-0058
Mailing Address - Street 1:4041 VILLA SERENA LN
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89081-6606
Mailing Address - Country:US
Mailing Address - Phone:702-521-0058
Mailing Address - Fax:
Practice Address - Street 1:4041 VILLA SERENA LN
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89081-6606
Practice Address - Country:US
Practice Address - Phone:702-521-0058
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?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty