MEDICARE: ESSOMID HEALTHCARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
3	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
4	385H00000X	Respite Care
5	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
6	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1396549960
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSOMID HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	4507 WYNDTREE DR
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-8784
Country	:	US
Telephone Number	:	513-300-5670
Fax Number	:	513-300-5670

Provider Business Practice Location Address
First Line	:	4507 WYNDTREE DR
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-8784
Country	:	US
Telephone Number	:	513-300-5670
Fax Number	:	513-300-5670

Authorized Official
Title or Position	:	DOO
Name	:	ABDOU RAZACK KARAMA
Credential	:
Telephone Number	:	513-300-5670

Provider Enumeration Date	:	04/02/2025
Last Update Date	:	04/02/2025

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Directions to “ESSOMID HEALTHCARE SERVICES LLC ” Practice Location

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