Provider Demographics
NPI:1700059375
Name:ESSENTIAL HOME HEALTHCARE INC
Entity type:Organization
Organization Name:ESSENTIAL HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGELES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-226-1700
Mailing Address - Street 1:2644 DEMPSTER ST STE 202
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-8431
Mailing Address - Country:US
Mailing Address - Phone:847-813-6301
Mailing Address - Fax:847-813-6612
Practice Address - Street 1:2644 DEMPSTER ST STE 202
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-8431
Practice Address - Country:US
Practice Address - Phone:847-813-6301
Practice Address - Fax:847-813-6612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010806251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1010806OtherIDPH
IL148092Medicare Oscar/Certification