Healthcare Provider Details

I. General information

NPI: 1710824065
Provider Name (Legal Business Name): ESSENCE RESIDENTIAL CARE HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 N PLAZA DE LIRIOS
TUCSON AZ
85745-1600
US

IV. Provider business mailing address

1510 N PLAZA DE LIRIOS
TUCSON AZ
85745-1600
US

V. Phone/Fax

Practice location:
  • Phone: 520-308-4688
  • Fax: 520-333-2898
Mailing address:
  • Phone: 520-308-4688
  • Fax: 520-333-2898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. STEPHEN KARUGA
Title or Position: OWNER
Credential: FNP-BC
Phone: 978-828-7627