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NPI Code Detail

MEDICARE: ESSENTIAL C.A.R.E. AT HOME LLC

MEDICARE: ESSENTIAL C.A.R.E. AT HOME LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1629904719
Entity Type Code : Organization
Provider Name (Legal Business Name) : ESSENTIAL C.A.R.E. AT HOME LLC
Provider Business Mailing Address
First Line : 2222 W GRAND RIVER AVE STE A
Second Line :
City : OKEMOS
State : MI
Zip : 48864-1604
Country : US
Telephone Number : 313-220-1385
Fax Number :
Provider Business Practice Location Address
First Line : 2222 W GRAND RIVER AVE STE A
Second Line :
City : OKEMOS
State : MI
Zip : 48864-1604
Country : US
Telephone Number : 313-220-1385
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. RASHEDA EDGAR
Credential : RN
Telephone Number : 313-220-1385
Provider Enumeration Date : 06/18/2026
Last Update Date : 06/18/2026

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Directions to “ESSENTIAL C.A.R.E. AT HOME LLC ” Practice Location

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