Healthcare Provider Details

I. General information

NPI: 1124798624
Provider Name (Legal Business Name): ESCORT HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2021
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4781 E GETTYSBURG AVE STE 106
FRESNO CA
93726-1814
US

IV. Provider business mailing address

4781 E GETTYSBURG AVE STE 106
FRESNO CA
93726-1814
US

V. Phone/Fax

Practice location:
  • Phone: 774-253-2935
  • Fax:
Mailing address:
  • Phone: 559-578-3850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH MENSAH
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: PHARMD
Phone: 774-253-2935