Provider Demographics
NPI:1598504888
Name:ESSENTIAL IN-HOME CARE LLC
Entity type:Organization
Organization Name:ESSENTIAL IN-HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-566-2245
Mailing Address - Street 1:2055 CRAIGSHIRE RD STE 230D
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146-4012
Mailing Address - Country:US
Mailing Address - Phone:314-566-2245
Mailing Address - Fax:
Practice Address - Street 1:2055 CRAIGSHIRE RD STE 230D
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146-4012
Practice Address - Country:US
Practice Address - Phone:314-566-2245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-24
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No282J00000XHospitalsReligious Nonmedical Health Care Institution